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NORTH CAROLINA
REGISTEK
RECEIVED
SEP 1 1999
'>■- - '-VERETT
VOLUME 14 • ISSUE 5 • Pages 368 - 425
September 1, 1999
IN Tins ISSUE
Agriculture - Veterinary Division
ENR - Environmental Management
Agriculture
Cosmetic Art Examiners
Cultural Resources
Environment and Natural Resources
Geologists, Board of
Health and Human Services
Justice
Landscape Architects
Nursing Home Administrators, Board of
Rules Review Commission
Contested Case Decisions
PUBLISHED BY
The Office of Administrative Hearings
Rules Division
PO Drawer 27447
Raleigh, NC 27611-7447
Telephone (919) 733-2678
Fax (919) 733-3462
This publication is printed on permanent, acid -free paper in compliance with G.S. 125-11.13
For those persons that have questions or concerns regarding the Administrative Procedure Act or any of its
components, consult with the agencies below. The bolded headings are typical issues which the given
agency can address, but are not inclusive.
Rule Notices. Filings. Register. Deadlines. Copies of Proposed Rules, etc.
Office of Administrative Hearings
Rules Division
Capehart-Crocker House (919) 733-2678
424 North Blount Street (9 1 9} 733-3462 FAX
Raleigh, North Carolina 27601-2817
contact: Molly Masich, Director APA Services
Ruby Creech. Publications Coordinator
miiiasich@oah. state. nc. us
rcreech@oah.state.nc.us
Fiscal Notes & Economic Analysis
Office of State Budget and Manageaient
116 West Jones Street
Raleigh, North Carolina 27603-8005
contact: Warren Plonk, Economist III
(919) 733-7061
(919) 733-0640 FAX
wplonk@osbm.state.nc.us
Rule Review and Legal Issues
Rules Review Commission
1307 Gienwood Ave., Suite 159
Raleigh, North Carolina 27«)5
contact: Joe DeLuca Jr., Staff Director Counsel
Bobby Bryan, Staff Attorney
(919) 733-2721
(919) 733-9415 FAX
Legislative Process Concerning Rule-making
Joint Legislative Administrative Procedure Oversight Committee
545 Legislative Office Building
300 Nonh Salisbury Street (919) 733-2578
Raleigh, North Carolina 276 11 (919) 715-5460 FAX
contact: Mary Shuping, Staff Liaison
marys@nis.ncga.slate.nc.us
County and Municipality Government Questions or Notification
NC Association of County Commissioners
215 North Dawson Su-eet (919)715-2893
Raleigh, North Carolina 27603
contact: Jim Blackburn or Rebecca Troutman
NC league of Municipalities
215 North Dawson Street
Raleigh, North Carolina 27603
contact: Paula Thomas
(919)715-4000
This publication is printed on permanent, acid-free paper in compliance with G.S. 125-1 1.13
NORTH CAROLINA
REGISTER
Volume 14, Issue 5
Pages 368 - 425
September 1, 1999
This issue contains documents officially filed
throuah Ausust 11. 1999.
Office of Administrative Hearings
Rules Division
424 North Blount Street (27601 )
PO Drawer 27447
Raleigh. NC 27611-7447
(919)73.^-2678
FAX (919)7.^.^3462
IN THIS ISSUE
I. IN ADDITION
Agriculture
Veterinary Division 368
Environment and Natural Resources
Environmental Management 369
II. RULE-MAKING PROCEEDINGS
Cultural Resources
Archives and History 370
Environment and Natural Resources
Health Services 370-372
Health and Human Services
Medical Care Commission 370
Licensing Boards
Geologists. Board of 372-373
Landscape Architects 373
III. PROPOSED RULES
Agriculture
Pesticide Board 374
Health and Human Services
Facility Services 374-392
Vocational Rehabilitation 392 - 393
IV. TEMPORARY RULES
Health and Human Services
Medical Assistance 394-398
Licensing Boards
Nursing Home Administrators. Board of . . 398 - 401
V. APPROVED RULES 402-415
Environment and Natural Resources
Coastal Management
Marine Fisheries
Wildlife Resources
Justice
Criminal Justice Education and Training Standards
Sheriffs" Education and Training Standards Commission
Licensing Boards
Cosmetic Art E.xaminers
Julian Mann III. Director
Camille Winston. Deputy Director
Molly Masich, Director of APA Services
Ruhy Creech. Publications Coordinator
Jean Shirley. Editorial Assistant
Linda Dupree, Editorial Assistant
Jessica Flowers. Editorial Assistant
VL RULES REVIEW COMMISSION 416 420
VII. CONTESTED CASE DECISIONS
Index to ALJ Decisions 42 1 - 42.S
VIII. CUMULATIVE INDEX 1 67
Narrli Carnlmu Rt'iiisier is published scmi-nionlhly for SI 93 per year hy the Office olAdminishalive Hearings, 424 Nonh Blount Street. Raleigh. NC
27601 ( ISSN 1 52(10604) to mail at PenodicaK Rales is paid at Raleigh. \C \H )ST\1 ASTF.R Send Address changes lo the Nurth Carolina Ri\iiisrer.
PO Drawer 27447. RaleiL'h. NC 2761 1-7447
NORTH CAROLINA ADMINISTRATIVE CODE CLASSIFICATION SYSTEM
The North Carolina Admuiistrative Code (NCAC) has four major subdivisions of rules. Two of these, titles luul chapters,
are maiuiaton: The major subdivision of the NCAC is the title. Each major department in the North Carolina executive
branch of government has been assigned a title number. Titles are further broken down into chapters whu h shall be
numerical in order. The other two. subchapters and sections are optioned subdivisions to be used by agencies when
appropriate.
TITLE/MAJOR DIVISIONS OF THE NORTH CAROLINA ADMINISTRATIVE CODE
TITLE DEPARTMENT LICENSING BOARDS CHAPTER
1
Administration
Acupuncture
1
1
Agriculture
Architecture
->
3
Auditor
Athletic Trainer Examiners
3
4
Commerce
Auctioneers
4
5
Correction
Barber Examiners
6
6
Council of State
Certified Public Accountant Examiners
8
7
Cultural Resources
Chiropractic Examiners
10
8
Elections
Employee Assistance Professionals
11
9
Governor
General Contractors
12
10
Health and Human Services
Cosmetic Art Examiners
14
11
Insurance
Dental Examiners
16
12
Justice
Dietetics/Nutrition
17
13
Labor
Electrical Contractors
18
14A
Crime Control & Public Safety
Electrolysis
19
15A
En\ironment and Natural Resources
Foresters
:()
16
Public Education
Geologists
21
17
Revenue
Hearing Aid Dealers and Fitters
1 *l
18
Secretary of State
Landscape Architects
26
19A
Transportation
Landscape Contractors
28
20
Treasurer
Marital and Family Therapy
31
*21
Occupational Licensing Boards
Medical Examiners
32
T-l
Administrative Procedures (Repealed)
Midwifery Joint Committee
33
23
Community Colleges
Mortuary Science
34
24
Independent Agencies
Nursing
36
25
State Personnel
Nursing Home Administrators
37
26
Administrative Hearings
Occupational Therapists
38
27
NC State Bar
Opticians
40
Optometry
42
Osteopathic Examination & keg. (Repealed)
44
Pastoral Counselors. Fee-Based Practicing
45
Pharmacy
46
Physical Therapy Examiners
48
Plumbing, Heating & Fire Sprinkler Contractors
50
Podiatry Examiners
52
Professional Counselors
53
Psychology Board
54
Professional Engineers & Land Surveyors
56
Real Estate Appraisal Board
57
Real Estate Commission
58
Refrigeration Examiners
60
Sanitarian Examiners
62
Social Work Certification
63
Soil Scientists
69
Speech & Language Pathologists & Audiologists
64
Substance Abuse Professionals
68
Therapeutic Recreation Certification
65
Veterinary Medical Board
66
Note: Title 2 1 contains the chapters of the various occupational licensing boards.
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IN ADDITION
This Secrion contains public notices that are required to he published in the Register or have been approved b\ the Codifier of
Rules for publication.
NOTICE OF PUBLIC HEARING ON PROPOSED TEMPORARY RULES
Notice is hereby given that the North Carolina Board of Agriculture will conduct a public hearing on September 2 1 , 1999,
t 1 ():00 a.m. at the Gov. James B. Hunt, Jr. Horse Complex at the State Fairgrounds, corner of Trinity Road and Youth Center Road,
laleigh, NC, on proposed temporary rules for mandatory testing of equines for equine infectious anemia (EIA).
Background. Pursuant to Section 13.6 of Session Law 1999-237, the Board of Agriculture is required, no later than
)ctober I, 1 999, to adopt rules to provide for the mandatory testing of horses and other equine for EIA prior to sale or assembly at
ublic places. Folkming adoption of temporary rules, the Board will begin rule-making proceedings to adopt permanent rules.
Summai^. The proposed rules:
( 1 ) would require all equine more than six months of age to be accompanied by proof of a negative EIA test when sold
or brought to any public place. (Existing rules require the testing of horses imported into the state);
(2) would permit the testing of equine at a market or sale and require the equine to be held pending test resi ' s;
(3) would require equine testing pt)sitive for EIA to be either euthanized, branded and isolated or sold for slaughter;
(4) would require quarantine and testing of equine that have been exposed to positive reactors; and
(^) would require markets or sale operators to obtain prior approval before conducting equine sales.
Copies of the proposed rules may be obtained by calling the Veterinary Division of the Department of Agriculture and
'onsumer Services at (919) 733-7601.
Comment Procedures. Anyone may offer comments on the proposed temporary rules by appearing at the public hearing or
y submitting written comments no later than September 17, 1999, to David S. McLeod. Secretary, North Carolina Board of
.griculture, PO Box 27647, Raleigh, NC 2761 1 .
f:5 NORTH CAROLINA REGISTER September I, 1999 368
IN ADDITION
TITLE ISA - DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
CHAPTER 2 - ENVIRONMENTAL MANAGEMENT |
This is a notice of intent to adopt temporary rules for protection of riparian buffers in the Tar-Pamlito River Basin The
Department of En vironment and Natural Resources plans to request that the NC Environmental Management Commission adopt such
temporar\' rules to provide interim protection for riparian areas while permanent rules calling for the same protections are undergoing
a full rule-making process through the EMC. Permanent rules to protect riparian buffers and control nonpoint sources of nutrients
are scheduled for adoption by the EMC in December 1999. and would become effective August 1, 2000. A Notice of Text was
published for these permanent rules in the August 2. 1999 edition of the NC Register. 14:.^. pages 162-185.
Protection of riparian buffers would help minimize nonpoint source nutrient inputs to streams in the Tar-Pamlico River Basin. The
temporary' and permanent rules are proposed as part of the Basins Nutrient Sensitive Waters Strategy, a priority issue in the slates
Tar-Pamlico River Basinwide Water Quality Plan. Chapter .329, Session Laws 1 999 ( House Bill 1 1 60) gi\ es the EMC authority to
adopt temporary rules in the Tar-Pamlico, Cape Fear, and Catawba River Basins to protect water quality standards as required to
implement Basinwide Water Quality Plans for these Basins.
The purpose of this announcement is to encourage those interested in this rulemaking to provide oral or written comments on
proposed temporary rules for riparian buffer protection. A copy of the rules was published in the August 2, 1999 NC Register, or
can be obtained by contacting Marsha Byrd. Division of Water Quality, (919) 7.3.3-508,'^ ext. 558. Public hearings are being held on
these and other proposed nonpoint source nutrient rules for the Basin on September 2""*, 1999 (see below). We encourage you lo
provide oral or written comments at the hearing if interested, or written comments separately.
Please submit comments to Rich Gannon. DENR. Division of Water Quality. Planning Branch. 1617 Mail Service Center. Raleigh.
NC 27699-1617. Questions may be directed to Rich Gannon at (919) 733-508.3 ext. 356, or rich_gannon(?h2o.enr. state. nc. us.
Public Hearing for Proposed Nonpoint Source Nutrient Rules for Tar-Pamlico River Basin
Thursday. September 2. 7:00 pm i
Nashville. NC
Nash County Agriculture Center Auditorium
Ag Center Drive
On the north side of U.S. 64 Business (Eastern Ave.)
Nash County Extension office: (252)459-9810
369 NORTH CAROLINA REGISTER September /, 1999 14:5
RULE-MAKING PROCEEDINGS
i
A Notice of Rule-making Proceedings is a statement of subject matter of the agency 's proposed rule making. The agency must
publish a notice of the subject matter for public comment at least 60 days prior to publishing the proposed text of a rule.
Publication of a temporary rule sen.es as a Notice of Rule-making Proceedings and can be found in the Register under the
section heading ofTemporan Rules. A Rule-making Agenda published by an agency senses as Rule-making Proceedings and
can be found in the Register under the section heading of Rule-making .Agendas. Statutory- reference: G.S. I50B-2I .2.
TITLE 7 - DEPARTMENT OF CULTURAL
RESOURCES
CHAPTER 4 - ARCHIVES AND HISTORY
Tk TOtice of Rule-making Proceedings is hereby given by the
1 V Ncn-th Carolina Department of Cultured Resources in
accordance with G.S. 1508-21.2. The agency shall subsequently
publish in the Rei;istcr the text of the rules it proposes to adopt
as a result of this notice of rule-making proceedings and any
comments received on this notice.
Citation to Existing Rules Affected by this Rule-Making: 7
\ICAC 4S .1)101-. (JJ()9. Other rules may be proposed in the
course of the rule-making process.
Authority for the rule-making: G.S. I21-4(8).(9): I43B-!0(j):
l43B-62{2jd: I43B-71
Statement of the Subject Matter: These Rules address the
purposes, operation, aiul services available from the Try on
malace Historic Sites and Gardens in New Bern. North
Carolina, and have not been update i since 1 989. In particular,
the fee schedule needs adjustment to place it in line with current
levels.
Reason for Proposed Action: These proposed amendments
are needed to accurately reflect the current administrative status
of the Tryon Palace Historic Sites and Gardens and to meet
state requirements for eanied admission receipts for FY 1999-
2000. Nearly all admission receipts are utilized to fund
temporaiy minimum wage employees as guides, character
interpreters, or crafts demonstrators. Since the la.'it ticket price
increase over 10 years ago. there have been substantial
increases in the mininuun wage. The currem level of visitation
appears to be sufficiently high lo support this change and is in
line with recent increir'ies at Old Salem and other similar sites.
Comment Procedures: Written comments may be submitted
to Boyd D. Catliey. Division of Archives atid History. NC
Department of Cultural Resources. 4614 Mad Service Center.
109 East Jones Street. Raleigh. NC 27699-4614.
i
TITLE 10 - DEPARTMENT OF HEALTH AND
HUMAN SERVICES
CHAPTER 42 - INDIVIDUAL AND FAMILY SUPPORT
-\wtice of Rule-making Proceedings is hereby given by the
ly Medical Care Commission in accordance with G.S.
I50B-2I.2. The agency shall subsecjuently publish in the
Register the text of the rule(s) it proposes to adopt as a result of
this notice of rule-making proceedings and any comments
received on this notice.
Citation to Existing Rules Affected by this Rule-Making: W
NCAC 42B .1201. .1212-. 1215. .1707. .I,S0.\ .201 .^-.2014.
.250I-.25O3: 42C .2005. .2012-.2014. .2207. .2214. .2501-
.2506. .2703. .3401-. 3402. .3701. .3703. .3801-.381O. .3901-
.3903: 42D .1301 -.1303. .1401-. I4U2. .1407. .141 2-. 1416.
.1503. .1605. .1804. .1813. .1832-. 1833. .1901-. 1910. .2001-
.201 1. .2102. Other rules may he proposed in the course of the
rule-making process.
Authority for the rule-making: G.S. 131D-2: I3ID-4.3:
131D-4.5: 13ID-4.6: 131D-8; 143B-165
Statement of the Subject Matter: Medication Administration
and Storage: Behavioral Intervention Training: Staff
Qualifications and Responsibilities for Medication Aides. Aide
Supenisors. Management Staff: Staffing Levels: Management
of Adult Care Homes: First Aid Training: Due Process and
Appeal Rights for Resident Discharge or Transfer: Issuing and
Renewing Licenses Based on Compliance Histoiy: Special Care
Units for Residents with Alzheimer's Disease and Related
Disorders and for Persons with Mental Health Disidnlities:
Resident Assessment Timeframe ami Training: and Ma.ximum
Water Temperature Levels.
Reason for Proposed Action: Legislation (Senate Bill 10)
resuhing from tlw Department of Health and Human Services'
Long Term Care Safety Initiative resulted in requirements for
new, higher standards of care for adult care homes. These new
standards are to he estcdilished in penneinent rules to be adopted
by the Medicid Cine Commission to address areas such as
medication administration, behaviond intenention training,
supeirision of aides, discharge/transfer due process and appeal
rights, issuing and renewing licenses based on compliance
histoiy, and special care units and their disclosure.
Comment Procedures: Written comments may he submitted
to Doug Barrick. Division of Facility Senices, Group Care
Licensure Section. 2708 Mad Sen-ice Center. Raleigh, NC
27699-2708.
TITLE 15A - DEPARTMENT OF ENVIRONMENT
14:5
NORTH CAROLINA REGISTER
September 1, 1999
370
RULE-MAKING PROCEEDINGS
AND NATURAL RESOURCES
CHAPTER 13 - SOLID WASTE MANAGEMENT
•K jntice of Rule-making Proceedings is hereby given by the
1 V ENR Commission for Health Senices in accordance witli
G.S. 1 508-21.2. The agency shall subsequently publish in the
Register the text of the riile(s) it proposes to adopt as a result of
this notice of rule-nuikini; proceedings and any comments
received on this notice.
Citation to Existing Rules Affected by this Rule-Making:
J5A NCAC 13A.0H)I-.0I04. .0106. .0108. .0110. .0112-.01I3.
.01 18. Other rules may be proposed in the course of the rule-
making process.
Authority for the rule-making: G.S. 130A-294{c), 150B-21.6
Statement of the Subject Matter:
15A NCAC ISA .0101 - GENERAL - Establishes the State
agency which will administer the hazardous waste management
program, makes State substitutions for federal agencies and
incorporates into the rules certain publications.
ISA NCAC 13A .0102 - DEFINITIONS - Defines the meanmg
of key words as used in the rules.
ISA NCAC 13A .0103 - PETITIONS - PART 260 - Establishes
procedures to petition for rule changes. Establishes freedom of
information and confidential information.
ISA NCAC 13 A .0104- PUBLIC INFORMATION -PART 2 -
Establishes freedom of information and confidential information
requests procedures.
ISA NCAC 13A .0106 - IDENTIFICATION AND LISTING OF
HAZARDOUS WASTES -PART 261 -Identifies cluiracteristics
of hazardous waste and lists certain hazardous wastes.
ISA NCAC 13A .0108 - STDS APPLICABLE TO
TRANSPORTERS OF HAZARDOUS WASTE - PART 263 -
Establishes standards- which apply to transporters of hazardous
waste.
ISA NCAC 13A .0110 - INTERIM STATUS STDS FOR
OWNERS-OP OF HWTSD FACILITIES - PART 265 -
Establishes interim status standards for owners and operators
of hazardous waste treatment, storage and disposal facilities.
ISA NCAC 13A .0112 - LAND DISPOSAL RESTRICTIONS -
PART 268 - Establishes land disposal restrictions.
ISA NCAC 13A .0113 - THE HAZARDOUS WASTE PERMIT
PROGRAM - PART 270 - Establishes pentiit application
information requirements and permit procedures.
ISA NCAC 13A .0118 - STANDARDS FOR THE
MANAGEMENT OF USED OIL -Establislies standards for the
management of used oil. These standards cover used oil
generators, transporters, processors and refiners, burners and
marketers.
Reason for Proposed Action:
ISA NCAC 13A .0101 - To properly identify the Department: to
properly ideniifi. definitions that are exempt in certain rules:
and to eliminate the Annual Report rec/uircinents as required by
Section 27.10 of House Bill 53 of the Sci and E.xtra Session (f
the 1996 North Carolina Legislature. ▲
ISA NCAC 13A .0102 - All revisions art (f technical nature. "
ISA NCAC 13A .0103 - Has been revised to accurately reflect
to procedure that must be followed to Petition for Modification
or Revocation of rules.
ISA NCAC 13A .0104 - Changes m .i)l04(aHll are to
accurately reflect those Federal Regulations that are included
in Subpart A. .OI04(all2) has been revised to correct the
address of the Division of Waste Management: .0104la)(2) has
been deleted. The definitions that were in this Subparagraph
are included elsewhere in this Section or are no longer required.
.0104(b) has been revised to properly exclude those Federal
Regulations that North Carolina is not adopting.
ISA NCAC 13A .0106 - This Paragraph has been expanded to
include new EPA requirements. These rei/iiirements provide an
exemption from hazardous waste regulations for certain
comparable/syngas fuels.
ISA NCAC13A .0108 - The revisions to this rule do t^vo things:
Sets a time frame in which a non-resolved manifest discrepancy
must be reported to the Department: and i icaiiy defines what is
considered a manifest discrepancy.
ISA NCAC 13A .0110 - Adds 40 CER 265.121 'Tost-closure
requirements for facilities that obtain enforceable documents in
lieu of post-closure pertnits" to Subpart G, "Closure and Post-
Closure. "
ISA NCAC13A .0112 - The proposed amendment will add 4(^
CER 268.49 to (Subpart D). "Treatment Standards", tM
provide alternative land disposal treatment standards for
contaminated soil.
ISA NCAC 13A .0113 - These are technical corrections.
ISA NCAC 13A .0118 - These are technical corrections.
Comment Procedures: Comments may be submitted to
Harold McCarthy, NC Hazardous Waste Section. 401 Oberlin
Road, Suite 150, Raleigh, NC 27605- J350, telephone number
733-2178, ext.247.
CHAPTER 18 - ENVIRONMENTAL HEALTH
A TOtice of Rule-making Proceedings is hereby given by the
I y DENR/Comniissionf>r Health Services in accordance with
G.S. 1 50B-21.2. The agency shall subsequently publish in the
Reijister the text of the rules it proposes to adopt as a result tf
this notice of rule-making proceedings and any comments
received on this notice.
Citation to Existing Rules Affected by this Rule-Making:
I5A NCAC 18C .1538. Other rules nun he proposed in ihe
course of the rule-making process. M
Authority for the rule-making: G.S. I30A-3I5
371
NORTH CAROLINA REGISTER
September 7. 1999
14:5
RULE-MAKING PROCEEDINGS
f
Statement of the Subject Matter: National Priinan- Drinking
Water Regulations: Consumer Confidence Reports. The
Consumer Confidence Reports Rule requires community water
systems to prepare and distribute water quality reports to their
customers.
CHAPTER 18 - ENVIRONMENTAL HEALTH
♦
I
Reason for Proposed Action: In order to meet the conditions
of the primacy agreement with the US Environmental Protection
Agency. North Carolina must adopt rules that are no less
stringent than the Federal Regulations as required in Section
1414(c)(4) of the Safe Drinking Water Act. The National
Primary Drinking Water Regulations: Consumer Confidence
Reports Rule was promulgated on August 19, 1998.
Comment Procedures: Send comments to Martha Moore.
Public Water Supply Section. 1634 Mail Senice Center,
Raleigh, NC 27699-1634 or phone (919) 715-3243.
CHAPTER 18 - ENVIRONMENTAL HEA' iH
•\ -jotice of Rule-making Proceedings is hereby given by the
1 y DENR/Coinmission for Health Services in accordance with
G.S. 150B-21.2. The agency shall subsequently publish in the
Resister the te.xt of the rules it proposes to adopt as a result of
this notice of rule-making proceedings and any comments
received on this notice.
Citation to Existing Rules Affected by this Rule-Making:
15A NCAC 18C .2007. Other rules may be proposed in the
course of the rule-making process.
Authority for the rule-making: G.S. 130A-3I5
Statement of the Subject Matter: National Primaty Drinking
Water Regulations: Interim Enhanced Surface Water Treatment.
Waterbonie disease has been associated with a high level of
particles passing through a water treatment plant, and this Rule
strengthens the effectiveness and reliabilit}' of physical removed
for particulate matter and microorganisms in general. This
Rule optimizes treatment reliability and enhances physical
removal efficiencies.
Reason for Proposed Action: //; order to meet the conditions
of the primacy agreement with the US Enviromnental Protection
Agency, North Carolina must adopt rules that are no less
stringent than the Federal Regulations as required in Section
1413 of the Safe Drinking Water Act. The National Primary
Drinking Water Regulations: Interim Enhanced Surface Water
Treatment Final Rule was promulgated on December 16, 1998
as required under 1412(b)(2)(c).
Comment Procedures: Send comments to Tim Booinhower.
Public Water Supply Section, 1634 Mail Service Center,
Raleigh, NC 27699-1634 or phone (919) 715-3221.
Tk -jotice of Rule-making Proceedings is hereby given by the
1 V DENR/Commission for Health Serxices in accordance with
G.S. 150B-21.2. The agency shall subsequently publish in the
Register the te.xt of the rules it proposes to adopt as a result of
this notice of rule-making proceedings and any comments
received on this notice.
Citation to Existing Rules Affected by this Rule-Making:
15A NCAC 18C .2008. Other rules may be proposed m the
course of the rule-making process.
Authority for the rule-making: G.S. 130A-315
Statement of the Subject Matter: National Primaty Drinking
Water Regulations: Disinfectants and Disinfection Byproducts.
This Rule provides protection from microbial pathogens while
simultaneously ensuring decreasing health risks from
disinfection byproducts. Several disinfection byproducts have
been shown to cause cancer in laboratoiy animals. Levels of
disinfection and disinfection byproducts in drinking water will
be reduced.
Reason for Proposed Action: //; order to meet the conditions
ofthepritnacy agreement with the US Envirotmiental Protection
Agency, North Carolina must adopt rules that are no less
stringent than the Federal Regulations as required in Section
1413 of the Safe Drinking Water Act. The National Primary
Drinking Water Regulations: Disinfectants and Disinfection
Final Rule was promulgated on December 16, 1998 as required
under 1412(b)(2)(c).
Comment Procedures: Send comments to Hornlecm Chen.
Public Water Supply Section, 1634 Mail Seirice Center,
Raleigh. NC 27699-1634 or phone (919) 715-3221.
TITLE 21 - OCCUPATIONAL LICENSING BOARDS
CHAPTER 21 - BOARD OF GEOLOGISTS
-\ jotice of Rule-making Proceedings is hereby given by the
1 V NC Board for Licensing of Geologists in accordance with
G.S. 150B-21.2. The agency shall subsequently publish in the
Register the te.xt of the rule(s) it proposes to adopt as a result of
this notice of rule-making proceedings and any comments
received on this notice.
Citation to Existing Rules Affected by this Rule-Making: 21
NCAC 2 1 .0501, 0514-.0515, . 1 101 -.1102. Other rules may he
proposed in the course of the rule-making process.
14:5
NORTH CAROLINA REGISTER
September 1, 1999
372
RULE-MAKING PROCEEDINGS
Authority for the rule-making: G.S. 89E
Statement of the Subject Matter: To include Code of
Professional Conduct as rules: to amend present rides to
conform to changes to the Geologist Act as amended by the 1 999
General Assembly.
Reason for Proposed Action: The Code of Professional
Conduct was adopted following initial organization of the
Board, this change includes them as part of the Board rules.
The changes made by the 1999 General Assembly affected
disciplinary- changes and additions in the Geologx Licensing
Act.
Comment Procedures: Comments may be directed to Robert
Upton at PO Box 41225. Raleigh. NC 27629.
CHAPTER 26 - LICENSING BOARD OF LANDSCAPE
ARCHITECTS
m
'tice of Rule-making Proceedings is hereby given by the
NC Board of Landscape Architecture in accordance with
G.S. I50B-2L2. The agency shall subsequently publish in the
Register the text of the rule(s) it proposes to adopt as a result of
this notice of rule-making proceedings and any comment^
received on this notice. ™
Citation to Existing Rules Affected by this Rule-Making: 21
NCAC 26 .OlOL .0104-.0W5. Other rules nun be proposed in
the course of the rule-making process.
Authority for the rule-making: G.S. 89.\
Statement of the Subject Matter: Mailing address of Board.
Teniporaiy Licenses, and Fees for examination and late
penalties.
Reason for Proposed Action: The 1999 Session of the
General Assembly deleted the provision of the act that provides
for temporary licenses. Also the General AssendTly changed
how examination fees may be charged. The mail address of the
Board has changed also.
Comment Procedures: Conunents may be directed to Robert
Upton at PO Box 41225. Raleigh, NC 27629.
373
NORTH CAROLINA REGISTER
September I, 1999
14:5
PROPOSED RULES
This Section contains the text of proposed rules. At least 60 days prior to the publication of text, the agency published a Notice
of Rule-making Proceedings. The agency must accept comments on the proposed rule for at least 30 days from the publication
date, or until the public hearing, or a later date if specified in the notice by the agency. The required comment period is 60 daxs
for a rule that has a substantial economic impact of at least five million dollars ($5,000,000). Statutoiy reference: G.S. 150B-
21.2.
TITLE 2 - DEPARTMENT OF AGRICULTURE
Notice is hereby given in accordance with G.S. 150B-2I .2
that the North Carolina Pesticide Board intends to amend
the rules cited as 2 NCAC 9L .0502. .1201. Notice of Rule-
making Proceedings was published in the Register on July J,
1999.
Proposed Effective Date: July 1. 2000
(3)
Carolina Pesticide Board; except for federally
registered ant control products containing arsenic
trioxide (solid formulation tnanufactured m a sealed
metal container only ) for:
(a) domestic outaoor - domestic dwellings, or
(b) domestic indoor - domestic dwellings;
any pesticide approved under 2 NCAC 9L .0318.
Authority G.S. 143-44(Ha).(b): 143-441: 143-458.
Instructions on How to Demand a Public Hearing (must be
requested in writing within 15 days of notice): Any person may
request a public hearing on the proposed rules by submitting a
request in writing no later than September 16. 1999. to James
W. Burnette. Jr.. Secretary. NC Pesticide Board, c/o Food and
Drug Protection Division. Pesticide Section. NC Department of
.Agriculture and Consumer Services. PO Box 27647. Raleigh.
NC 27611.
Reason for Proposed Action: This rule-making proceeding
was initiated as a result of a petition submitted by Dr. John A
mTodhunter. SRS International Corporation, on behalf of Grant
Laboratories. Inc.
SECTION .1200 - ARSENIC TRIOXIDE
.1201 RESTRICTIONS ON USE AND STORAGE
All pesticide formulations containing the active ' igredient
arsenic trioxide shall not be used or stored insiue or in the
immediate vicinity of any building used as a human dwelling.
dwelling; except for federally registered ant ccintrol products
containing arsenic trioxide (solid formulation manufactured in
a sealed metal container only) for:
( 1 ) domestic outdoor - domestic dwellings, or
(2) domestic indoor - domestic dwellings.
Authority G.S. l43-44()lb): 143-441.
»
Comment Procedures: Written comments may be submitted
no later than October 1. 1999 to James W. Burnette. Jr..
Secretary-. NC Pesticide Board, c/o Food and Drug Protection
Division. Pesticide Section. NC Department of Agriculture and
Consumer Sen-ices. PO Box 27647. Raleigh. NC 27611.
Fiscal Impact
State Local Sub. None
/
CHAPTER 9 - FOOD AND DRUG PROTECTION
DIVISION
SUBCHAPTER 9L - PESTICIDE SECTION
SECTION .0500 - PESTICIDE LICENSES
.0502 LIST OF RESTRICTED USE PESTICIDES
For the purpose of this Regulation a restricted use pesticide is:
( 1 ) any pesticide required by the environmental
protection agency to bear the designation on its
labeling "Restricted Use Pesticide";
(2) arsenic trioxide. all formulations of which must be
sold and/or purchased in accordance with additional
regulations (2 NCAC 9L .1200) adopted by the North
TITLE 10 - DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Notice is hereby given in accordance with G.S. I50B-21.2
that the Division of Facilit}- Sen-ices intends to adopt the
rules cited as 10 NCAC 3S .1101. .1201-. 1207. .1301-. 1303.
.1401. .15111. .1601. .1701-. 1702. .1801-. 1806. .1901-. 1903.
.2001-.2UU2. .2101-.2IU6: and repeal the rules cited as 10
NCAC3S.O1O8-.O109. .0207-.021I. .02I3-.0214. .0307-.0308.
.0407-.()40H. .0506:0511. .0614-.06I9. .0706-. 0707. .0806-
.0808 .09U1-.0904. .1001 -.1006. Notice of Rule-making
Proceedings was published in the Register on June 15. 1998.
Proposed Effective Date: July 1. 2000
A Public Hearing will be conducted at 2:00 p.m. on October4.
1999 at the Council Building. Room 20L 701 Barbour Drive.
Raleigh. NC.
Reason for Proposed Action: To repeal obsolete rules and
adopt ne^v ones that reflect current standards of practice in the
area of cardiac rehabilitation.
Comment Procedures: Anyone wishing to comment on these
14:5
NORTH CAROLINA REGISTER
September I, 1999
374
B^
PROPOSED RULES
proposed rides should contact Jackie Sheppard, APA
Coordinator. Division of Facility Sen'ices. 701 Barbour Drive.
Raleigh, NC 27603, (919) 733-2342. Written comments must be
received no later than the date and time of the hearing.
Fiscal Impact
State Local Sub. None
/
CHAPTER 3 - FACILITY SERVICES
SUBCHAPTER 3S - CERTIFICATION OF CARDIAC
REHABILITATION PROGRAMS
SECTION .0100 - GENERAL INFORMATION:
ADMINISTRATION
.0108 DEFINITIONS
The — following — definitions — witl — apply — t hroughout t l iis
Subciiapter:
til " Cardiac Rei i abiiitation Program" means a program
ce r ti f i e d u n der Article 8 ofCiiapte r 1 3 1 C ot the Nortl i
Caro l ina Ge ne r al Sta t utes fo r the delivery of caidiac
r e h a bi litatio n services to clients, in enviro n n i enl s
o the r than hospitals and inc l udes, but shall not be
limited — to: — coordi n ated. — p h ysician-dire c ted.
in d i v i dualized p r ograms of therapeutic act i vity and
lif e st y le modifications which are designed to assist
the — cardiac — patie n t — rn — attaining — the — highest
r e h a bil itat i ve potential;
(2) "Ce r i i Ucalion" means the issuanc e of a certificate by
the Depaitme n t upon determinatio n that caid i ac
r e h abil i ta ti o n se r vices offered at a g i ven p r og r am site
are in su b s t antial comp l iance w i th — a ll Ca rdi ac
Rehabili t a ti on P r ogra m — r ules contained — in this
Subc h apter and the prov i sio n s of G.S. Chapter I .^ I E.
A r ticle 8;
tfH "Departmen t " means the Department of Human
Resources:
t=H "P r og ra m Director" means the p e r so n who supervises
the s t aff of a c er tified Cardiac Rehab i litation P r ogiam
and directs a l l facets of tl ' ie program:
t5l "S i te" means t h e facility in which the Ca r diac
Reha bil itation Prog r am is held.
t(r) "Cardiac therapy sess i o n " means that period of time
that is staff diiecled and consists of sp ecific warm-up.
stimulus p h ase, and cool-down acliviiies;
t^ Regula r fc j |low-up intervals - three, six. 12 months;
t8l "Div i sion" means the Division of Facility Services.
Authorit\ G.S. I3IE-169.
.0109 POLICIES AND PROCEDURES
The P r og r am Di r ect or of each Card i ac Rehabilitation Program
shall assure w ri t t en policies a n d i
shall cover at least the following areas:
t+1 admission of patie n ts.
t2) p atien t assessment; prescripti on ti nd t h era py;
t5l patien t follow-up;
t+1 patient discharge;
tfh maintenance and rete n tion of ine di cal re cor dr.
ttr) orientatio n of all progra iii pe i soi iii el.
t?1 personnel records whicl i -trtdtidir^
credentials;
tSl communication with patient's Tcferr al a n d perscmttt
physicia n s, if any.
t9l procedures — for reco r ding and — r eviewing — of all
incidents and accidents:
t+&1 confidentiality of medical reco rd information;
ti-fi emergency p rocedures.
Authorities. 1 31 E- 1 69.
SECTION .0200 - CERTIFICATION
.0207 CERTIFICATION REQUIRED
tal For a caidiac rehab i l i tation progrann n+icTertif
G.S. Chapter 13 IE. A r tic le 8. a cardiac l e hab
must be issued a certificate by the Deparimeni when the
Division deterr n i n es that the prog r a n r <;ub sta nli all y'f omplies
w i th t h e provisions of G.S. C ha pte r i31F. ."ATtrde-HrantfT^TH
substantial complia n ce — w i th t h e ru le s - cormnncd i n th i s
liable
I policies and procedures w n icn are avail,
a n d implemented by the s t a f f. Tliese policies and procedures
Su b chapter. ^
tbi A certificate issued to a -speci fi c ca r d i ac - r eh ahilitatio ™
program by the Department is not transferrable or assignable.
exce p t with prior w i-i tte ii appro\ ' al of the Department. — A
cui 'r ei i tly valid cert i fica t e m ust also be p osted i n a conspicuous
place on the certified premises.
tci A n ew ce r tification shall be r equired when there is a
cha n ge of ei t her the p r ogram di r ecto r o r medic aftlTrec to r . T he
necessity and type of review shall be at tl i e disc re t i on of il ic
D i visio n .
Authority G.S. 131E-169.
.0208 TYPES OF CERTIFICATION
Two types of ceilifica t ion are issued to Cardiac RehatTtfrtatinn
P r og r ams. They are as fol l ows :
t+1 Provisional Cer ti f i c ati o n.
ta) If a new program is star tin g, th e Program
D i rector w i l l p r epa r e and submi t- a de t ailed
applicatio n clea r l y describin g -the program's
scope of se r vices and the s ta f f a n d th ei r
q ual i fica t ions, and de li neate fa cili lies and t he
equip m ent to be u til i/ : ed. — There m ust be
sialf has attended, pnortoi he
r^irtTgrarn. a trrttrring
w o r ksh(ip o n c a r dia c r ehabrti tation. -5c+ic
[ftrt and giA- e n bv ^Ttm.— crp
cur r ently certified progra rns^ ct a ctimbmatrrm
of s taff from several certified program??.
375
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%
♦
(tr) Provisional certi t ication must occurp ri o r to the
starting — date — of — tirc — prog r a m . ff — the
Depa r tment, up i ui review of an application and
supporting docu m entation, dete i iriir i es liiat a
caidiac re h a h iliiatio n program co m plies wi t h
G.S. Chapte r 13IE, Ar ti cle 8 and the r ules
contained in th i s Su b chap t e r , th en a p r ovis io nal
ceniFicate shall be issued by t he Departmen t
w i thout an on-s it e r ev i ew being m ade.
tc^ A provisional ce r t if icate is also issued when a
program is r eviewed for recertifica t ion and
does not co m ply with the rules con t a i ned in
this Subchapter, w h e n failure to comply does
not endanger the health, safe t y, or welfare of
patients — being — served — by — the — program.
Provisi onal c ertitication will not exceed six
mont hs.
i&i A p r ov i s i ona l certification may be extended fo r
u p to three months when a new prog r a m b eg in s
and vyhen extreme circumstances o c cu r to
restrict the development of the p r og r a m . T h e
program must apply in writing t o the Division
for an extension.
ttt Full certification is granted when a program i s found
to he substantially in fu l l compliance w i th t h e r ules
contained in this Subchapter and G.S. Chap t er I .^ IE,
A rt icle 8. A lette r re quest i ng a full certitication w i l l
h e submitted during the tlrst three months o t the
pr og r am's operation .
Aia/ionry G.S. 131E-169.
.0209 APPLICATION
fai A n ap pli cat i on fo r ce r titicat i o n shall b e sub m itted to t he
De p a ii men i prio r to a certificate being issued.
t+r) A n appl i catio n shal l h e su bmitt ed p r io r to th e occurrence
of a n y of the fo ll ow in g c ir cums t a n ces :
tfi P r ov i s i onal certifica ti on of a new prog r am :
^21 Cha n ge o f prem i ses ( i nitial certification of new
p r emises or addi t ion of new site);
trH Cha n ge of ownership ( i nitial certificat i on of new
ow n e r ), program director or medical director: and
t^ Recertification.
Authority G.S. I3IE-169.
P r og r am D irec to r .
tci The Program Director shall p r ovide and make available to
represen t at i ves of the Division
ds dee m ed neces&aiy to
ivision records
d e m o n strate co mp liance with this Su b chapter.
ttf) Routi n e inspectio n s shall b e conducted by one o r m o r e
r eview tea m co n sultants with specialities i n areas to he
evaluated.
t&) Following completion ofan inspection, an exit-conference
shall be conducted with o n e o r mo r e r epresentatives of t h e
program's management. A n o r al su m ma r y of t h e find in gs shall
be presented at the exit-co i ifeience. The Division shall pr ovide
t+teTV
-•r og r a m D ir ector with a wri t ten report of t h e findings withi n
20 wo r king days following the inspection. — Th e P r og r a m
Director shall h ave ten working days from the receipt of the
r epo rt t o r es p o n d w i th a plan or repor t which describes the steps
take n to r emedy a n y o b se r ved deviations from certification rules
co nta ine d in thi s Subchapte r .
Authority G.S. 131E-I69.
.021 1 REVIEW TEAM: REVIEW PROCESS
ttr) The re view tea m may include persons from existi n g
certified p r og ra ms w i th specialities in program ai - eas to be
i nspec t ed, (e.g.. physician, P r ogram Director, exercise spec ialist
or coordi n ator, dietitian
-or — nutritionist, registered — n u r se,
psychologist, and any other appropriate consultants). — Pe r so n
sul " ) j ect to occupational licensi n g (phys i c i an, psyc hi at ri st, et c.)
must have a c urrent. valid North Carolina licens e o r r eg i st r a tio n.
(fr) The team of consul t ants will incl u de s t aff fr om e xis t ing
certified Ca r dia c R e hab i litation P r og r a m s. All pe rs o n s ass i gned
to r eview tea m s a re aut h o r ized r epre senta t ives of the Departmen t
w h e n e n gage d in an i n spection of a ca r d i ac re h ab i l i tat i on
pr og r a m sc he duled i n acco r dance with Rule .0210 of this
Subc h apte r .
to If the service of a physician reviewer cannot be obtained
t o p ar tic i pate in a program review, the Division review
coordinator wil l make appropriate ad j ustments in review team
composition.
(xH The review team will observe the program in operation
and in t erview staff membe r s to assess the operation of the
program.
tei Eac h r ev i ew co ns ul t a n t w ill su bmit the i r worki n g copy of
t he review l orm to t h e r eview coord in ato r at the completion of
t he review. T h e r eview coo r d i na t o r w i ll su m marize the findings
an d r e p o r t in w ri t in g to the p r og r am within 20 working days.
.0210 INSPECTION
titi Any Cardiac — Re h ab il i t a ti o n P r ogram a p plying for
certification shall be inspected b y representatives of the Division
p r i or to the issuance of a ce r ti f icate.
fbl Any Cardiac Rehabili t ation P r og r a m cert if i e d b y th e
De p a r tment may be inspected by autho r ized rep r ese n tatives of
the Div i sion at any time during the p r ogram's bus in ess hou r s.
I )n-sile i ns pec t i o n s shal l b e co n ducted as necessa r y to ce r t i fy
c tim p liance — or — co n ti n ued — compliance — vmh — cert i f i cation
requ ire ments. Inspections m ay b e unannounced. The pur p ose
of a n y i n spection w i l l be ex plaine d or summarized with the
Authority G.S. 13IE-I69.
.0213 ADVERSE ACTION
If a program is found i n s i g ni ficant noncompliance with t h e
mles co n ta in ed i n this Su b cha p ter and G.S. 1."^1E. Article 8. the
Division sha ll e i the r issue a provis i onal certificatio n , deny a
request for full certification, suspend a program's certitication.
or revoke the program's cert i tication . Co mp lian c e failu r e w h ic h
i eopardizcs the he a lth, s af ely a n d welfa r e o f any p atie n t, a n d
r emains u n co rr ected as s p eci f ied by th e Division, may be
suffic i e n i cause fo r t h e de ni al o r r evocat i on of certification.
14:5
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September /, 7999
376
^SB^^^^^S^^
PROPOSED RULES
Authontx G.S. I3IE-169.
.0214 PROCEDURE FOR APPEAL
A Caidiac R e habilitation P r og ram m ay ap p eal a n y d e cision of
th e D i v i s i o n to d en y, revoke, sus p end, o r amend a ce i l i ficate by
m ai< in g such a n a pp eal i n acco r dance with G.S. 150D and 10
N CAC I B .0 2 00 .
Authontx G.S. niE-169.
SECTION .0300 -PERSONNEL
.0307 COMPOSITION OF STAFF
The followi n g pe r sonnel must b e on the staff of a ce r tif i ed
Ca r diac Rehabil i tation Program : — Tlie prog r am staff must
include a program dii ' ector. m ed i cal — director, d i eti t ian or
nu tri tio n ist. — psy c h ologist — or — psychiatrist. — voca t io n al
r eha bilit ation counselor, exercise specialist/coo r di n aio i a n d
p a ti en t educator : — One .staff mem b er shall n o t have primary
res p onsibili t y for more tha n two staff positions.
t+1 Staff P osi t i o ns:
(al P r ogram Direclorserves as the ad m i n istrator of
the certified prog r am, supervises t he staff and
directs all facets of the total program.
fir) Medic al — Director is the consultant on all
medical — aspe ct s of — the — program — and — is
responsible for the medical supervision of all
testing, treatmen t s, pi ' escriptio n and therapy
p r ograms of p ati e nt s i n addition t o developing
emergency procedu r es and atte n ding to t h e
equipment. — m edication. — and — adequacy — of
pei ' sonnel. including the physicia n s . — This
person is also tl i e liaison wi t h t h e med i cal
community.
tc) Exe r cise specia l is t /coordinator is responsible
for design i ng and supervis in g the exercise
p r ograms in co n sultat i o n with the medical
directoi'. — Duties also include implementatio n
of the exercise prescription. Daily heart rate,
attendance i - eco r ds and othe r information are
collected and m a i nta i ned on a regular basis by
thi s staff me m be r .
fdl Psycho l og i s t — or psychia tr ist — analyy.es — the
psychological n eed s — of the — pat i ents — and
counsels or refe r s patients for tre at m e n t. Th e
r elaxation — program — fs — e i the r — led — by — the
p sychologist — or — p sychiatrist. — or — the
psychologist o r psychiatrist has p r ovided
in -se i" vice I r aini n gfor other staff to ca rr y it out.
The psychologist or psychiat r i st also provides
consultation to the — staff mem b ers about
suggested ways of deal i ng with emo t ional and
psycholog i cal ad j ustments of the patients.
(e) Dietitian o r nutr i tionist obtai n s diet hi s t o r ies,
a n alyzes pat i e n t diets, and cou n sels patien t s
and other persons des i gnated by the patient on
(f)
diet modifica t ion.
Vocatio n al rehabilitati on ct n i n seloi ' sc i ee iistfTc
p r ogram — patients — using —a — v ocational^
North — C a ro li n a
termine -ihosc^-hn-
•sied in-tfnrserrrces erf the
Division — of — Vc i cationa l
-The
f2l
Rehabilitation — S ervices — (i^ VftS >r
counselor develops the vocatii iial assessment .
presc r iption, and inte r ve n t i on strategies, aii d
p rovides counselin g^- a n d othe i — ser vices as
appropriate. — AH se r vices p r ovided must he
necessary t o achieve the vocatio n al objectives
of patients w h o become clients of DVRS. The
counselo r a l so attends staff meetings i n whic h
DVRS clien t s are to be d i scus se d, counsels and
p rovides fo l low-u p to c li e i us at the p r og r a rrr.
and participates in Ti t h er p rog r a rrrat'tTTTtn-'s-.
Pat i e n t educator organizes the cdrtcatioTrat
as p ects of the progra m , i n c lu ding educational
materials such as h a n douts, brochures, a n d
new sle t te r s. — The pa t ient educato r i s also
responsi b le — for — the — coo r d i na t io n -of — ttrc
education — l ectures, mini-sessi ons- — patient
counseling, and feedback sessions.
Addi t io n al Role s:
fa) Exercise — technologist — wo r ks — u nd e i — the
direction — of the — medic a l dire ct; n ' a n d -rs
r espons i ble for the ad iTiini s ir alio nnf -t he g r aded
exerc i se tests, inc lti dmtr -t he o p e r at i o n -
^
i>l lllcS
treadmill. — e lect r ocard i ograph — (EKG).
oscil l osco pe , and other laborato r y tests.
th) A tt ending — physician — strafi — b e on-site and
ava i lable throug h o u t t he the r apy i ncluding the
s p ecific warm-up. stimulus and cool-d o ui i
phases.
fd Registered n u r se se r v ' es as tc'acher." acts as
liaison person to other disciplirtesra^sists with
medical emergencies, main t a i ns emerge n cy
equipment, h el p s t o assess, plan and evaluate
interdisciplinary — base — plan — of — care; — and
maintains — vital — ri-gn — re co r d s — arrd
symptomatology.
Authority G.S. I31E-169.
.0308 MINIMAL EDUCATIONAL STANDARDS:
STAFF POSITIONS/ADDITIONAL ROLES
tai S t aff Pos i tio n s :
Hi The — Program — D i rector — of- a cer t ified — Cardia c
Rehabil i tation Prog r am must meet the requ i remen ts-of
(T*r) b e a n ACSM (A m e rican- College trl-SpoTis
Med i c in e) c er tified p r og r am directo r o r an
ACSM ce r t i fied exe r c i se s p ecialist, and hc M
m
3rdT:tc~h le support; or
lasters or doctorate decree
377
NORTH CAROLINA REGISTER
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PROPOSED RULES
)
in nursing, exercise physiology, or another
health — pr ofe s sio n . — 866 — hours — of — cardiac
reliabilitatio n ex p erience, and be ce r tified i n
basic cardiac life su p port. Prog i am Directors
not meeting these requirements who were
employed — by — the — pr og r a m — prior — to — the
De c e m be r I. 198 9 , effective date of these
Rules m ay con t inue in their present position.
and — are — encouraged — to — seek — continuing
educa t ion in appropriate subject matte r .
ib) Tlie medical director of a certilled Card i a c Rehabilitation
P r og r am must meet the requirements of either Subparagraph 1 1 )
or (2) of this Paragraph:
iVi have a med i cal deg r ee, be li c e n sed to practice
medicine in North Caroli n a, be a board certified
i nte rni st or ca r diologist, and have experience in the
medical — su p e rv is i o n — of — Ca r diac — Rehabilitation
P r og r a m s, or have recent experience i n emergency
p atient ca r e; o r
(^ have a medical deg i ee. be lice n sed — to pract i ce
■ ledic in e i n No r th Carolina, have ex p erience in
electrocardiographic interpretation a n d — in graded
exercise testing; and be ce rti fied in basic cardiac life
support.
ttr) The exercise specialist or coordinato r of a certified
Ca r d i ac Rehabilitation Program must meet the r equi r e m e nts of
eithe r Subparagraph ( I ) o r (2) o f th i s Pa r ag r a p h :
til be certified as an exercise special i st o r p r o gr a m
m directorby t he Ame ri can College of Sports Medicine;
and b e certified i n b asic cardiac l i fe s up po r t; or
t2) have a bac h elo r 's deg r ee o r certification in a health
f ield ; have at least one year's previous experience in
working — wrth — adtrtt — fit n ess — and/or — Cardiac
Rehabilitation P r og r a m s; be certified in senior life
saving (if a swimming program is offered); and be
cert i fied in ba si c cardiac l ife support, and supervised
by the pro gr am director who has ACSM ceilification
as a n exercise specialist or program director. If the
p rog r am does n ot have an ACSM certif i ed exercise
spec i alist o r p r ogram director on s t a f f and significant
weaknesses a l^ e identified in this program component.
th e p r og ra m m ay be required by the D ivi sio n to seek
q u alified con s ultation on an annual or semi-annual
basis.
(tf) The dietit i an o r nutritionist of a c ertified Cardiac
Rehabilitation Prog r am must meet the requirements of eithe r
Subparagraph ( I ) o r (2) of this Paragraph:
Hi be a dietitian registered by the Amei - ican Dietet i c
Assoc i at i on, and be certified in basic cardiac l i fe
support ; or
t2i have a bachelor's o r advanced degree in foods.
nutrition, or fo o ds and nutrition, and a one yeai -
internship in a hospital practicing therapeutic dietary
^ counseling; a n d b e certified i n b a s ic cardiac l i fe
' support.
tej The psychologist o r psychiatrist of a cert i fied Ca r dia c
Rehabil i ta t io n P r ogram must meet t h e requireme n ts of e i t h e r
Subparagraph ( I ) or (2) of this Paragraph:
(+1 b e a l i censed p r act i ci n g psychologist in No i tl i
Carolina (docto r a l level) o r a lice n sed psychological
associate mon i tored and supervised by a licensed
practicing psychologist; have a minimum of two years
of acceptable and appropriate expe r ience, and be
certified in basic cardiac life support; or
t^ b e a hoa r d ce r tified psyc hi a tr ist licensed to practice
m edici n e i n No r th Carol in a, have a minimum of two
y e a r s of ac c eptable a n d appropriate professional
experience, and be certified in bas i c cardiac life
support.
tf) The vocational rehabilitation c o uns el o r of a ce r tified
Cardiac Rehabilitation — Program must — b e a rehabilitati o n
counselor with a master's degree in rehabilitation counse l i n g o r
a related field, or have a bachelor's degree and be appropriately
qualified to provide vocational rehabilitation services. — The
vocational r ehabilitation counselor must be certified in basic
card i ac life support.
tgi The patient educator of a certified cardiac rehabi lit ation
program must either have an R.N. degree or a bachelo r 's deg r ee
in a health field (nursing, health and sport scie n ce, p h ysical
therapy), have had basic coursework. training, and experie n ce in
patient education with an adult popula t ion, and be certified in
bas i c cardiac life support.
fti The exe r cise lest technolog i st of a ce r tified card i ac
re l iabilitation prog r am must meet the requirements of
e i ther Sub p a r ag r a ph — (A). (D), or (C) — of — this
Parag r aph :
(A) Be certified as an exe r c i s e tes t tec h nolo gi st by
the American College of Sports Medici n e, and
be certified in bas i c cardiac l i fe support: or
(©j Be a registered nurse or have a bachelor's
degree — m — a health — field, — have — a — basic
knowledge and experience in g r aded exerc i se
testing and exercise electrocardiography, and
be certif i ed in basic cardiac life support; or
(O If not certified as stated in Subparagraph (A) of
this Paragrap h or possessing a degree as stated
i n Subparagraph (B) of this Paragraph, the
med i cal directo r m ust decl a re that the person
has compete n cy of training and/or experience,
have — b a si c — k n owledge — and experience — m
g r aded — exe r cise — testing — and — exercise
el e ctro c a r d i og rap hy, and b e certified in basic
cardiac life su p po r t.
t21 The attend in g — physician of a — certified — cardiac
r ehabili ta t i o n p r og r a m mu st have a medical de gre e, be
li ce n sed — to — practice — in — North — Carolina. — have
co m p e te n cy to direct other staff in a — m edical
emergency, a n d must be approved, in writing, by the
medical director.
t3l The — registered — n u r s e — of — a — certified — ca r d i a c
rehabilitation prog r am must b e l i censed to practice
profess i onal — n u r s in g — m — North — Carolina. — h ave
co m petency — to — as si st — other — staff in — a — medical
14:5
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378
mmimsfm
PROPOSED RULES
e m e rg e n cy. — be — compete n t — m — b asic — IIKG
inler p ielat i o n s. have at least o n e y e a r expe r ience in
ca r diac — r eha bii ilal ion — or — equiva l e n t — (i.e..
co r onary/ci ' iticalca i' e n u r se >. a n d h e ce rti f i ed in basic
card i ac lite sup p ort.
AurhorinG.S. 131E-J69.
SECTION .0400 - PROGRAM ADMISSION CRITERIA:
PATIENT ASSESSMENT
.0407 ADMISSION CRITERIA
Pa t ients e n te rin g a cert i lled Cardiac Rehabilitation Program
must have o n e o r a combination of the following:
Hi Myocardial infarc t ion :
tcc) A post-myocardial i nfa r ction patient may ente r
a prcigraj i i a n y t i me at t he disc r e ti on of tlie
med i cal director and referral from a pe r s on al
p h ysician.
tH The r e — mttst — be adequate — control of
complications, i.e.. angina, congestive h ea r t
failure, a rr hythmias, etc.. acco r d i ng to the
medical direct o r and the r eferr i ng physician.
(2) Angina pectoris: r ecent changes in medica t io n for
a n gina control are permissable at the d i sc r etion of the
patient's pe r so n a l phys i c i a n.
(fH Post-operative — cardiovascular — su r ge r y rrr
i nterventional — pr ocedu r es. — 'rcr, — C.ADG. — PTC A.
valvular, cu n gei iil al t ir pe r ipheral surgery :
tai A post-operative cardiovascular surgery pat i ent
may enter a prog r am at any time at — ttrc
d i sc r eti o n of the m edical director and refe r ral
f r om a pe r sonal physician.
A — p osl-opei - jiive — va l vula r. — congenital
m
nr
p e ri p h e r a l obstructive surgery pat ie nt ma y be
admitted with the admiss i on date being at the
discret i on of t h e — referr i ng physic i an — and
m edical d ir e ctor .
t+> I lypertension : patients with low func t ional capacity or
a- specified n eed t o main t ain therapy may be admitted
to the program.
(5) Ar r hythmias:
(tr) Patients — with — ser i ou s — a r rhythm i as — and/or
conductio n defects m ay be admitted to the
fbl Pace m ake r patients wit h any of the diagnoses
co n tained i n thi s — Rule and/or decreasing
functional capacity may be admitted to the
program.
tfr) Ot h er co n d i t i ons which may b e conside r ed grounds
fo r admissio n include. — but a r e not limited — ttr
card i o m yopathies, valvular heart disease, ca r d i ac
t r anspla n t. COPD. dia b etes, and disabli n g rena f
disease. — Appropria t e assessment, pre script ive
therapeu ti c mod if ications must be docu m e n ted.
and
n each"
Ainhorin G.S. 13IE-169.
.0408 PATIENT ASSESSMENT
I'pon admission to the Ca r d i ac Re l'i a hiHlatiorrPrograr
pa ti e n t m ust have a medical record ttcvdoped ■vvtrrrh" hi c ktdes
writte n documentation of the disabli n g cui i diti oTr antf— an
asse ss me nt. This assessment must incl udr:
(4i Medical Assessment:
fal Ca r d io vascular evattnttron — as — ttr — pr ese nt
nd— condrtTOn — a n d a
Tif— the — p atie n t's — hist
m
oi
(41
(51
discharge — summary
hospitalization: or
ttrl Statement bv ' r eferri n g physicians as to p r ese n t
Laborato r y Assessme n t :
ta) Rest i ng 12-lead electroca r d i ogram:
(b) Graded ex erci se irst — -wTttr 12-lea d
electrocard i ogram ;
(r1 Blood chem i stry to include total cholesterol,
high density lipoprotein (HDL), tr i glycerides,
and glucose;
measured or predicted equiva lcrtts-tMET^
(ei Pulmonary func t io n studies, if indicated; and
tf) Height. we i g h t. -pcTccnt'body-titt.-tmd ideal
Dietary Assessment :
fal Nu trit i on history cnnt-ai ning socio-ec o no mi c. ^
medical, anthropi i me tric . d i e t a r y a nd attitudina^
information;
fW W r i t te n t h ree day diet reco r d:
(c) Review of medical history and a s sessment.
recen t serum lipid analysis, and anthropomet r ic
a n alys i s:
{&) Nutrition i n le i Aiew w ith p at i e nt and o th e r
tc) Behavior survey considering frequency;
motivation, — location — and — im p ed i m en ts — to
eat i ng.
Psy c h ol ogical Assess m ent :
ttr) Psychological interview and questionnai r e: and
fir) Screening forpsychopathology and heha\n ri a l
dimensions — suc h
depre ss i on, a n d Ty
'Vocational Assessment :
tn) Vocati on al qu e s tioi
vocational — status.
-as- tr-^ftttte-trait anxiety,
hehavioraf pattern.
jTre ttTdetermine current
Tlescription — nt — physical
tirking condit
psychological demands -as—pc rceived by the
patient; and
(fr) 'Vocatio n al — questionna ir e — or — inter x'irt'i — to
dete rmi ne de m og r ap hTc- ;mci -financiafdata.
establish proper counselor/clicntTxHtttionship; -
complete agency docum en tatio n to - assess^
eligib i l i ty for agency sc rmT s. a n d tn ttvsrss
jgnnstic "proce
379
NORTH CAROLINA REGISTER
September 1. 1999
14:5
PROPOSED RULES
t hose i ndividuals w h o apply lor vocational
rehabil i tatio n se r vices.
f\uthority G.S. J31E-169.
SECTION .0500 - INDIVIDUAL CARDIAC PATIENT
REHABILITATION PLAN
.0506 TEAM COORDINATION AND STAFFINGS
(a1 A mult i -discipl in a r y team approach is used to im p le men t
e ach pat i ent's Caidiac Rehabili t ation P r og r am. Tl ii s team brin gs
togethe r all of the disc i p l ines involved to remedia t e ca r d i ac risk
factors and carry out therapy.
tb) €>n — the basis of their assess m ents. — the — ca rdiac
rehabilitation staff shall decide upon the most app r o p r i ate mea n s
of intervention for each patie n t. W it hin fou r weeks of entry i n to
the program, a p r esc r iption shall be develo p ed by each staff
memb e r .
tx) The team staffing r eport, at a minimum, shall include a
coordinated t he r a p eu ti c pl a n of exe r cise therapy, diet therapy,
p s ycholog i cal se r vices, and vocatio n al rehab i litatio r junseling
a n d se r v i ces. Th i s re p o r t m ust be sent t o the p atient s p e r s on al
a n d referring physicians, if a n y. with a co p y maintained in the
medical r eco r d.
(tf) AW — mu lti -dis c i p li n a r y — staff (exe rci se — coo r di n at or ,
psychologist, a n d nu tri t i onist), w il l attend a minimum of one
cardra c t he r apy sessio n p e r week and on e patient staffing pe r
m onth. The v oca t io n al r ehabilitation co u nselor assigned to the
yr og ra m shall at t end at le a st those staffings at which VR clients
a r e discussed.
Authority G.S. I3IE-I69.
.0507 CARDIAC THERAPY
(a^ U n less medically contraindicated. each individual's
r e h abil i tation pl an shall i nclude :
t+l Type of cardiac therapy: gymnasium (walk/Jog)
prog r am, swimming (walk/swim), bicycle e r go m etry,
aim eigometry, circuit training, o r treadmill walking
prog r am:
(^ Intensity: 60 to 85 percent of symptom-li i Tiited heart
t3l Duration : — at least — 45 — m i nutes du r at i o n — with a
mini m um of .' ^ minutes at t h e stimulus phase and
r e m aining time in warm-up/cool-dow n : and
t4l Fi ' eque ii cy: minimum of three n o n -consecutive days
per week.
tbi At the d i sc r etion of the medical d ir ecto r , the pat i ent may
he monito i- ed c o n ti n uo u s l y or intermitte n tly tfirough t h e u se o f
electrocardiography while perfoi iii ing the cardiac the rapy
desc rib ed in Parag r aph (a) of this Rule.
(r1 There shall b e an attending phys i cian on-s it e a n d availa b le
before a cardiac therapy session begins with the specific
up. stimulus and cool-dow n phases. In the event that a
physician is not availa b le, the session shall be suspended or an
ed u ca ti onal progra m m ay b e subst i tuted fo r card i ac th erapy^,
(d1 A staff to patient ratio in the cardiac therapy sessions shall
fc
b e at least 1 : 12 fo r all programs.
Authority- G.S. B IE- 1 69.
.0508 DIET THERAPY
Each i ndividual's program shall include the following dietary
se r v i ces :
t+) Inteipreta t ion and f eedback of nutrition assess m ent to
pa ti ent and designated other person:
d) Patient and othe r designated person counseli n g o n
nutrition — for — good — health. — food — selection — and
preparat i on, with p rescription of a therapeutic diet if
necessary:
(5) Eating behavior modification when appropriate: and
(+) Identification of a weight goal and weight reduction
classes if necessary.
Authority G.S. 1 31 E- 169.
.0509 PSYCHOLOGICAL SERVICES
Eac h — i ndividual's — prog r am sliall — include — the — following
psychological se r vices:
Hi Interpretation — and — feedb ac k — of — psychological
assessment to the pa ti e n t.
t^ Recommendations concerni n g an appi ' opriate plan of
counseling oi ' therapy (on-site or referral) which may
include one o r mo r e of the following :
iix) i ndividual or g r oup therapy;
ftr) st r ess management:
(d1 smoking cessation; and
te) behavior modification.
t?r) The psychologist shall personally conduct sess i o n s , or
instruct - other sta f f to co n duct sess i ons, so that
relaxation or stress ma n ageme nt is offered at least
Authority G.S. 13IE-169.
.0510 VOCATIONAL REHABILITATION
COUNSELING AND SERVICES
Each i n dividua l who n eeds vocational rehabi l itation services
a n d who meets the No r th Carolina Div is ion of Vocat i onal
Rehabilitatio n el i g i bili t y criter i a shal l ha v e a prog r am that
i n c l udes :
Hi vocational — counseling, — to — i nclude — adequacy — of
functiona l capac i ty fo r vocational and avocational
ac t i vi t i es :
(^ pr ovis i o n of vocational evaluatio n and vocational
trai n ing fo r designated i n d i v i dua l s:
t3i J ob de v elopment and place m ent service fo r el igibl e
clients;
(4) intervention with employers, a s n eeded, to facil i tate
client's return to employment; and
(51 othe r vocational rehabilitatio n services as appropriate.
Authority G.S. 13IE-169.
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■■IIULIILlll.,nB
PROPOSED RULES
.0511 REVIEW
To e n su r e that the t reatment presc r ibed in each ind i vidual's
planned — prograjn — is — approp r ia t e. — formal — i n te r d i sc i plinary
d i scuss i nns on patien t prog r ess shall he co n ducted on a monthly
basis.
Atirhorirx G.S. I3IE-169.
SECTION .0600 - PROGRESS EVALUATION AND
FOLLOW-UP
.0614 PROGRESS EVALUATION AND FOLLOW-UP
PROCEDURES
P a t ie n t follow-up s ha ll i n clu d e :
t+) Following the — implementa t ion — of each — cardiac
patient's rehabili t ation pla n , r o u t ine m on i toring of
pat i en t progress shall be acco m plished. Changes t o
each pa t ient's plan shall be made as app r o p riate, based
u p o n evaluations.
t^ Progress evaluation and other informa ti on pertaining
to each patient's participation in the prog r am shall be
com m u ni ca t ed with the staff.
(3) Reports of progress shall be sent to r eferring and
personal physicians, if any. at regular follow-up
int e r vals, defi ne d as three, six. and 1 2 mo n ths aft er
e n t r y. If the patient continues in t he program after 1 2
months, the results of annual re-evaluations should
al so be r e p orted to the referring physician.
Aiiihonn- G.S. 13IE-169.
.0615 MEDICAL FOLLOW-UP
Medical follow-up procedu r es shall include :
t+l evalua ti on of pa t ient progress in funct i o n al capaci t y
through examinat i o n ofg r aded exe r cise testing (GXT)
data at regular follow-up interva l s. If a GXT i s n o t
done, the reco r d must contain documentation of the
r easo n it was defer r ed;
tJ) consultation — with — professional — staff — r ega r d in g
pr og r ess made by patients towa r ds sp e c i fied goals
(e.g.. functional ca p ac i ty, sm oki n g cessa t ion, dietary
mod i ficat i on, we i g h t and lipid control, psychological
status, vocatio n al s t atus);
(5) c o n sultat i o n with staff rega r di n g pat i ent medications;
and
Hi consu l tatio n rega r d i ng alter n ate med i cal o r su r gical
interven ti o n (e.g.. cathete r ization, surgery).
Aiithorin G.S. I. ^ IE- 1 69.
.0616 CARDIAC THERAPY FOLLOW-UP
Ca r diac the r apy f c ^llow-up pr ocedu r es sha ll in c lu de :
ffi moni tilling — of — patient — adhe r e n ce — to — exercise
prescrip ti on by systematic examinatio n of pat i en t
re co r ds ( i ntensity and frequency of ca r d i ac therapy
se ssions) at monthlv inter%a fs . and docume n tation of
f eed b ack to the patient;
t^ p e ri od i c r ev i ew of the exerc i se p r e scriptioTt- for
appropriate i nt ensity and duiation; and J
t^ c o n sul t a ti on with — medica l director -on — ex e r c is*
prescription changes wheuTiccdrtftireT; irt -fof k i w-u p
GXT's a n d change in medication) .
Authorax G.S. I31E-169.
.0617 DIETARY FOLLOW-UP
Dietary follow-up p r ocedures shall i nclude:
f+1 Patient records of w^eigh t at least weekly and as a
component of stress test protocol at regular follow-up
intervals;
{^ Rev i ew of m edical status resul t s, as well a s lipid b ody
comp o sition and dietary s t a t us resul t s at r egukir
follow-up intervals;
f3l Referral and follow-up to ind i\n dual oi - group -diet
pr og r a m to fac i l i tate achievement of dietary goals.
especially we i ght reduction;
t+) Periodic — m o n itoring — of the — incorpo r at i on — and
maintenance of a p propriate dietary modi frratirms-.
Aiahorin G.S. 131E-169.
.0618 PSYCHOLOGICAL FOLLOW-UP
Psychological follow-up must - in clud e eva l u a ti o ns - m ade at
r egular follow-up i n tervals to dete i iiirnrth e e x te ntlo \\ hi ch ih t ^
p atie n t has bee n able to m ai nt a in need e d ch anges i n l i festyle a n a |
coping skills. — This may he accomplished by interview or
psychometric assessment.
Ainlwnn G.S. I3IE-169.
.0619 VOCATIONAL REHABILITATION
FOLLOW-UP
Vocat i onal re h a bi l it a ti o n follow-u p on sponsored clients shal l
in clud e:
t+l Counseling sessions to discuss pr o gr ess made i n t h e
r ehabi li tation pla n;
(^ Co n tact w it h c lie nts (and e m p l oyer, if needed) after
return to work or exit from the program: trrtd
f+i Other app r opriate vocationa l re ha bil itat i o n se rvi c es.
Autlwiitx G.S. I3IE-I69.
SECTION .0700 - PROGRAM DISCHARGE
.0706 CRITERIA FOR DISCHARGE
Six to twelve months is usually necesvarx'-tor the "significrmt
rehabilitation of most card i ac patient s."UptTn- delibe ratioTi and at
the d i sc r e t ion of the re h ab i l i tation pmgraTTT-staff.-tt pnticntmay
b e d i scharged after sa t isfacto r y imp nn cTnen t or a min imum of^ -
s i x months part i c ip atio n if app ropri at e le v els a r e m et fo ^
rttts; -pihysTcaf- fitness and
education.
381
NORTH CAROLINA REGISTER
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PROPOSED RULES
Authorin G.S. 131E-169.
^OlQl DISCHARGE PLAN
^ A Final decis i on is made [ i y thecai ^ diac rehabili t ation staff t o
discharge tl ie p atient from the program into anotiier appropriate
pr og r am (home. YMCA. Cardiac F i tness/Graduate, or other).
T hi s d i schai - ge should be docu m e nt ed and communicated to the
referring and pe r s on al physicians, if any.
t+&) ai l re cords of each discipline's paiticipation in the
patient's therapeutic pla n;
(i+) discharge plans prov i ding fo r post-dischaj-ge pi ' ogra iii
continuity and follow-up as appropriate; and
(+2^ miscellaneous — records — desirable — for — pr og r a m
continuity.
Authorises. I31E-169.
Authorin- G.S. 13 IE- 169.
SECTION .0900 - EMERGENCIES
SECTION .0800 - MEDICAL RECORDS
.0806 POLICIES AND PROCEDURES
Each cer t ified Ca r diac Rehabilitat i on Program shall have
p olicies and p r ocedures which shall be implemented to provide
t+1 m ai n te n a n ce of a co m plete, accurate and organised
me dical record for each patie n t admi t ted to t he
program;
confide n tiality of r eco r ds ;
accessibility oi ' non-a c cessibili t y of medical record
information — to — th e p atie n t. — prog r am staff and
non-employees;
reten t ion a n d d i sposition of records in accordance
with the N.C. Statutes of Limitations, G.S. 1-15. 1-17.
m
t4l
Authorin- G.S. 131E-J69.
♦
0807 RECORD REVIEW CONSENT
Then
.0901 EMERGENCY PLAN
A written plan shall be established which is sufficiently
flexible to handle
medical
, i - g^-oi - j of each patie n t mu st c on ta i n a statement sig n ed by
the patient which r eads as follows : — "I unders t and that in
accordance with N.C. Ge n eral Statute 1 .11 E- 1 70. 1 have the right Authority- G.S. 1 31E-169.
to ob j ect in w r iting to a review of my record or r ecord
infor m at i on by t he Division of Facility Services representatives
during sta t e ce r t ifi catio n inspections and by an o bj ec tio n m
w r iting I may proh ibi t the in spection or release of my records."
Authority G.S. 131E-I69.
.0808 CONTENT OF MEDICAL RECORD
fa) A l l ent i ies in the record shall be legible and sig n ed by the
individual m aki n g the e n try with a signature, title, and dale.
(tr) The patient's na m e must be recorded on each p age of the
record.
ixi n ie to nanciie any emergencies. Al l a r eas of the premises
pertinent to prog r am operation must be i n cluded. Tl i e plan shall
address the assignment of personnel and availability of
equipment which is subject to use in an e m e rg e n cy. All patients
shall be informed during orientation that s t aff supervision ceases
when the patient exits the program "site".
Authority G.S. I31E-169.
.0902 EMERGENCY EQUIPMENT
The following equipment and supplies must be available and
operable i n an emergency:
Hi suction equipment (poitable);
defibr i l l ator (portable);
intubation equipment;
drug kit;
oxygen tank supply;
regulato r and m ask or n asal cannula.
(5)
.0903 PERSONNEL
fal F o r out-of-hospital cai ^ diac rehabilitation programs: Two
td The medical reco r d shall contain at least the following :
(5)
patient i de n tificat i on data ;
medical history and hospital discharge summary ;
g r aded exercise data-
record of oxygen uptake where appropriate;
reco r ds of blood chemistry analys i s i nc l uding l i pid
pi'cifile;
(fr) i n fo r med consent to participate in t he programs;
■ fii r eports of physical examinations.
(*) progress notes and response to the therapeut i c plan;
t9l vocational questionnair e .
icai personnel — must be present during the warm-up.
stimulus, and cool-down phases of the cardiac the r apy sess i on.
The m edical personnel must consist of th e a t tendi n g p h ysi c ia n
a nd at least o n e of the fo l lowing qual i f i ed perso nn e l: reg i ste r ed
nurse, physic i a n , physician's assistan t . The o p tio n s a r e :
(+) two M.D.'s. or
{i) one M.D. and one Phys i cian's Assista n t licensed to
work under that docto r , or
(5) one M.D. and one registered nurse.
fb) For in-hospital programs :
tii The phys i cian must be in-house but not involved i n
such activities as surgery, cardiac cath. etc. I n o t he r
words, he/she must be immediately avai l able by so m e
direct emergency contact system. Tliis system must
b e tes t ed at regular intervals.
t^ Backup code- b l u e team response must be available.
tf*1 O n e ce r tified Adva n ced Cai ^ diac Life Support (ACES )
staff m embe r able to implement approved ACES
protocol s hould b e p r e s e n t at the exercise site.
Authority G.S. 131E-169.
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382
PROPOSED RULES
.0904 EMERGENCY DRILLS
A w i-i tte n lec ni d of innn t h l y d r ills should be documented. I n
the record, a dai l y review of the crash cart equipment and a
mo n th l y drug i n ventory is required. — T T ie d ri lls should be
d ir ected, a n d th e effectiveness of the dri ll s h ould be re v ie w ed,
docu m e n ted, and s igned by. t he m edical directo r o r attendi n g
physician.
Aiitlwrity G.S. BlE-169.
SECTION .1000 - FACILITIES AND EQUIPMENT
.1001 PROGRAM REQUIREMENTS
(tr) Fac i li ti es a n d equipment necessary fo r the delivei7 of
each phase of the Cardiac Rehabilitation Program must be
read i ly avai l able for use.
{b) A w r itten prevent i v e ma in te n a nc e program shall be
es ta bl ish ed to ensu re that all equipment is m aintained in safe and
pr oper working order.
(ri A quali t y assurance progiam must be p r ovided for
periodic cali br atio n ol icsi equip m e n t which is in accordance
with — m a n ufac t ure r s' r ecommenda t ions or other geneially
acc e pted standards.
AuthoritxG.S. I3IE-I69.
. 1 002 GRADED EXERCISE TESTING LABORATORY
EVALUATION
Tbrc follow in g facilities and equipment shall be availa b l e fo r
laboratoi7 evaluation:
t+1 adequa t e space for physical examination and graded
exercise testing:
f2l i^^^tad-etectrocitrdrographic-eqtriprneriHTirexCTCTW
testing:
t3l oscilloscope for — ele c t r ocardiog r ap h ic — (ECO)
monitoring or continuous reco r ding:
t4i t r ead mi ll, b i cyc l e ergomete r . or a r m cra n k e r gome t e r:
tfr^ sphygmomanometer. — b lood — pr essu re — ctrff^ — and
stethoscope:
tfr) e m e r ge n cy procedures, equ i p m e n t, a n d supplies as
desc rib ed in Section .0900 of this Su b chapte r on
emergenc i es:
t^ anthro p ometri c — equipmen t — (skinfold — ca l ipe r s.
stad i omete r and phys i cian's bala n ce scale): and
(Xl sp ir o m ete r foi ' pulmona ry fu n ct i o n testi n g.
Authority G.S. I31E-169.
.1003 CARDIAC THERAPY
The follow in g facilities and equ ip ment shall he available and
ope r able fo r t h e cardiac tlie r apy progra m :
trh gym n asium, m ult i purpose room, or li ' ack :
(^ po r ta bl e CCG and oscilloscope:
f3i sphygmomanometer. — bl ood — pressure — ctrff: — and
(+) eme r ge n cy p i' ocedu r es. equ i pment, and supplies as
described in Section .0900 of this Su h chap itT.
tfr) large clock with a sweep sec (. TneHTtrnd-.
tfr) r ecreational games e qu ipm e nt- if dee m ed n ecessar jj
and appropriate by t he p rogra m " d ir ecto r o r xtkctv
spec i alist.
-T^R/
AiitlwimG.S. I31E-169.
.1004 DIETARY PROGRAM
T h e following facilities and equipmeii t'^ihaH- b e availabl e for
the dietary prog r am :
(+) Adequate space fo r interviewing and counseling:
{^ Dietary tables a n d means of nut r ient a n alys i s:
t^i A va i lahility of equipment or se r vice lo r-bit iod sc rum
li pi d a n alysis: and
{4) Appropr i ate — e duc ati o n a l — mater i als — for — patient
•: thc-dict-ctr y consullali cin.
AiithoritvG.S. I3IE-I69.
.1005 PSYCHOLOGICAL PROGRAM
The — f ollow in g — facilities — must — be — a\ ' ailable — for — tttc
psychological program:
Hi adequate space for i nterviewing, testing, counsel irrg
a n d r elaxat i o n : and
t^ access to refer r al so ur ces wit hi n the c omn n nTTty.
Authority G.S. I31E-169.
.1006 VOCATIONAL REHABILITATION PROGRAM
I
Adc
lequale space — must be available — for the vocatio n a l
rehabilitation program to allow for co n fide nti al i n te r v i ewing and
counseling.
Authority G.S. I3IE-169.
SECTION .1 100 - GENERAL INFORMATION:
DEFINITIONS
.1101 DEFINITIONS
The followinL! definitions shall apply throunhout this
Subchapter:
( I ) "ACLS-trained" means traininL' that is current in
Ad\anceJ Cardiac Life Support, by the American
Heart .Association.
12]
ill
14]
13]
1^
"ACSM" means the American College of Sports
Medicine.
"Artie
means Article 8 of G.S. I.^IE.
"Cardiac Rehabilitation ProLirani" has the same
meanint! as the definition in the Article.
"Cert ill cat ion" has the same mcaninii as the definitio n
in the Article.
"DVRS" means the Division of Vocational.
Rehahililali(>n Services, North Carolina Departmei'
o'i Health and Human Services.
(7) "Department" means the Norili Carolina Departmen t
383
NORTH CAROLINA REGISTER
September 1, 1999
14:5
PROPOSED RULES
iii)
19)
10]
LU
:!3)
(14)
♦
Oli
(16)
07]
(19)
(20)
(21)
»
of Health and Human Services.
"Dietitian or nutritionist" means an individual who is
licensed accordint; to G.S. 90, Article 25.
"Division" means the Division of Facility Services.
North Carolina Department ol Health and Human
Services.
"ECG" means electrocardiotiram.
"Graded exercise test" (GXT) means a multistage test
that determines a person's physiological response to
different intensities of exercise or tjic person's peak
aerohic capacity.
"Maximal oxygen consumption" means the highest
rate of oxygen transport and oxygen use that can he
achieved at a person's maximal physical exertion, or
functional capacity. This is usually expressed in
METs.
"Mental health professional" means an individual who
iiL
(a) licensed as a psychiatrist;
(b) licensed as a psychiatric clinical nurse
specialist;
tc]
id]
le]
licensed as a psychologist or psychological
associate;
certified as a clinical social worker; or
licensed as a professional counselor.
"MET" means "metabolic equivalent." a measure of
functional capacity, or maximal oxygen consumption.
One MET represents the approximate rate ol' oxygen
consumption by a sealed indixidual at rest:
approximately ,^.5 ml/kg/min. METs during exercise
are determined by dividing metabolic rate during
exercise by the metabolic rate ut rest.
"Nurse Practitioner" means a currently licensed
registered nurse approved bl !lK NC Board of
Nursing and NC Medical Board to practice medicine
as a nurse practitioner under the su pervision of a
physician licensed by the Board.
"Owner" means the legal owner of the certified
cardiac rehabilitation program.
"Physician" means an individual wht> js licensed
according to G.S. 90. Article 1. by the NC Medical
Board to practice medicine.
"Physician Assistant" means an individual who is
licensed and registered according to G.S. 90. Article
L by the NC Medical Board to practice medicine
under the superv ision ot a physician licensed by the
Board.
"Premises" means"site."
"Program" means"Cardiac Rehabilitation Program."
"Registered nurse" means an individual licensed by
the NC Board of Nursing to practice as a registered
nurse hi the State of North Carolina.
"Risk stratification model" means a method of
categorizing patients according to their risk of acute
cardiovascular comtTlications during exercise as well
as their overall prognosis. Risk status is related
primarily to the type and severilv of cardiovascular
(23)
(24)
(25)
(26)
(27)
(28)
disease. This ratin g takes into account how well the
heart pumps, the presence oi^ heart pain symptoms
and/or changes in the electrocardiogram during
exercise. Guidelines concerning medical supervision
of patients in cardiac rehabilitation programs which
are based on risk stratification models are provided
by: the American College of Cardiology, the
American College of Physicians, the American
Association of Cardiovascular and Pulmonary
Rehabilitation, the American Heart Association, and
the North Carolina Cardiopulmonary Rehabilitation
Association.
"Simple spirometry" means an analysis of air flow
which provides information as to the degree and
severity ot ' airway ohstructit)n. and serves as an index
of dynamic lung function. It must include, at a
minimum. Forced 'Vital Capacity and Forced
Expiratory 'Volume in 1 second.
"Site" means the facility m which the cardiac
rehabilitaticMi program is held.
"Supervising physician" means a physician who is on-
site during the operation of the cardiac rehabilitation
program.
"Symptom-limited heart rate reserve" means the
difference between the symptom-limited maximal
heart rate and the resting heart rate.
"Vocational Questionnaire" means the document used
for vocational assessment.
"Vocational Rehabilitation Counselor" means an
indisidual who provides vocational rehabilitation
counseling services.
AuthuntyG.S. 1.^ IE- 1 69.
SECTION .1200 - CERTIFICATION
.1201 CERTIFICATION REQUIRED
(a) Certification of cardiac rehabilitation services as a
"Cardiac Rehabilitation Program" under the Article occurs upon
the issuance of a certificate pursuant to the provisions of the
Article and this Subchapter. Once issued, the certificate
continues and remains in effect pursuant to the provisions of the
Article and this Subchapter.
(b) A certificate issued h\_ tfie Department pursuant to the
Article and this Subchapter shall be issue d only for ttie premises
and persont s ) named in the application and shall not be
transferable m assignable. The named person(s) and the street
address ot' itie named premises shall appear on the certificate.
(c) A certificate issued by tjie Department pursuant to the
Article and this Subchapter shall be pt)sted hi a conspicuous
place on the premises.
AitthontxG.S. 131 E- 169.
.1202 CERTIFICATION PROCESS
(a) To initiate the certification process, an application for
14:5
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384
PROPOSED RULES
certification shall be filed with the Department by the owner of
the cardiac rchahililalion services.
(b) Application forms shall be available from the Department,
and each application shall contain at least the following
information:
1 1 ) legal identity of the owner-applicant;
(2) name or names under which the facility or services
are advertised or presented to the public;
(3) program mailing address;
(4) program exercise site;
(5) program telephone number;
(6) ownership disclosure;
(7) name of program director;
(8) name ot medical director; and
(9) program hours of operation.
(c) No applicant shall offer any cardiac rehabilitation services
described or represented as a "Certified Cardiac Rehabilitation
Program." unless the services ha\e been certified in accordance
with the provisions of' this Subchapter.
(d) E.xcept as otherwise provided in this Section, the
Department shall inspect and evaluate the program and premises
identified in the application and shall thereafter issue a
certificate uptm Us determination that the applicant has
substantially complied with, and the program and the services at
the premises substantially met, the provisions ot.' the Article and
this Subchapter.
AuthonnG.S. I3IE-I69.
.1203 CERTIFICATE RENEWAL
(a) A certificate issued pursuant to tlie Article and this
Subchapter shall expire two years after the effective date but can
be renevsed upon the successful re-evaluation of the program.
To initiate the renev\al process, an application for certification
shall be filed with the Department b^. Ih^ owner ot' tfie program.
(b) Determination of C()mpliance with the prosisions of the
Article and this Subchapter for purposes of certillcate renewal
may, at the discretion of the Department, be based upon an
inspection or upon re\ lew of requested inl't^rmation submitted bv
a program to the Department.
(c) The Department, at its discretion, may renew a program's
certificate based upon evidence pro\ ided hy the program, such
as an accreditation repc^rt. that it has been inspected, evaluated.
and approved bv an accrediting body recognized by the
Department.
AuthontyG.S. I31E-I67: I3IE-I69.
.1204 CERTIFICATION FOLLOWING PROGR\M
CHANGES
(a) The Department shall be notified, in writing, at least .^0
da\s prior to the effective date, of any expected occurrences of
the following:
( 1 ) change in program ownership:
(2) change in program name:
(3) change of Utc premises in which a program is
Hi
conducted; and
the replacement or termination ol. employment oj' the
"
program director.
(h) If a 30-day advanced written notification of an
occurrence enumerated rn Paragraph (a) ot' this Rule is not
possible, the Department shall be notified immediately, by any
reasonably reliable means of notification, (jf such expected or
completed occurrence, and written notification shall follovs
immediately thereafter.
(cl Upon the occurrences enumerated in Subparagraphs
(a)( 1 ). (2). and |3) oi' this Rule, the owner oi the program shall
file with the Department an application for certification, w hich.
at a minimum, shall contain the informaticm specified m Rule
.1202(b) of tliis Subchapter, and shall provide such other
documentation and information as rec|uested by the Department.
(d) The re\ised program shall tie e\aluated for c ompliance
with the proNJsions of Utc Article and this Section. Esaluation
may he based upon inspection of tlie program or upon review of
requested information submitted by a program to the
Department. After a determination by the Department that the
program substantially complies with the provisions of the Article
and this Subchapter, a new certificate shall he issued.
Authonn- GS. 13JE-J69.
.1205 INSPECTIONS
(a) In accordance with G.S. 131E-I67(C). inspection(s) shall
he made by tlie Department before a program is issued ks initi^ ^
certification as a program defined in tjie .Article. ^
(b) The Department shall make or cause to fie made such
other inspections of a program as rt deems necessary in
accordance with the Article. Circumstances which may be
deemed to necessitate an inspection include, but are not limited
liH
( 1 ) change in program ownership:
(2) change [n program name:
(3) change of ihe premises \n which a program is
conducteth
(4) the replacement or termination of employment of the
program director: and
{5) in\estigation of complaints.
(c) Inspections may he unannounced and may be conducted
any time dunng program business hours. The purpose n£ any
inspection shall he discussed with the Program Director or
designee during an entrance conference.
(d) Information deemed necessary by tlie Department to
evaluate compliance with the .Article and this Suhchaptei. shall
he made a\ailahle for inspection. The information nia\ include
medical records, personnel files, pi^licics and procedures,
program records, interview s w ith program staff. inter\ iews w ith
patients, obsersation of Utc program in operation, and any other
information necessary to determine compliance.
(e) Following completion of an inspection, an exit c< mlerenci^
shall be conducted w ith one or more representati\es ni [hM
program's management. An oral summary of tlie findings shall
fie presented at the e.xit conference. The Department shal l
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PROPOSED RULES
provide the program with a written report of the findings. The
program shall have JO working days from the receipt ot' the
. report to respond with a plan of correction which describes the
Iborrective actions planned and taken to correct any cited
deficiencyties). the date each deficiency was or will be
corrected, and the date the program expects to be in compliance
with the proyjsions of the Article and this Subchapter.
Autlwiity G.S. 131E-169: 131E-170.
.1206 ADVERSE ACTION
(a) Upon a determination that there has been a substantial
failure to comply with the provisions of the Article or the rules
contained in this Subchapter, the Department may, at its
discretion, deny a new or renewal certificate, suspend or revoke
an existing certificate, or. as enumerated in Paragraph (c) of this
Rule, issue a provisional certificate.
(b) Substantial noncompliance which has endangered, or has
a potential to endanger the health, safety, or welfare of any
patient, shall be cause fc)r the denial, revocation, or suspension
of a certificate.
(c) Substantial noncompliance which does not endanger the
health, safety, or welfare of the patients being served may, at the
discretion of the Department, result in the issuance of a
provisional certificate for a period not to exceed six months.
Authority G.S. 131E-168: I31E-169.
|.1207 PROCEDURE FOR APPEAL
In accordance with G.S. 13 IE- 168(b). all administrative
action and judicial review in cases where the Department has
denied a new or renewal certificate, or suspended or revoked an
existing certificate, shall be governed by the provisions of G.S.
150B. the Administrative Procedure Act.
Authoritx G.S. 13IE-]68(b).
SECTION .1300 - ADMINISTRATION
.1301 STAFF REQUIREMENTS AND
RESPONSIBILITIES
[a] Each program shall be conducted utilizing an
i nterdisciplinary team. At a minimum, the team shall include
individuals performing the following functions. The program
may employ, full-time or part-time, or contract for the services
of team members. Program staff shall be available to patients as
needed to perform initial assessments and to implement each
patient'scardiac rehabilitation care plan.
(b) Individuals may perform multiple team functions, if
qualified for each function, as staled in this Rule:
(1 ) Program Director ^ supervises program staff and
directs aH facets of die program. The individual
serving as program director must either be:
(A) certified by the ACSM as a program director;
or
(B) have a bachelor'sdegree in a health or fitness
♦
field and have two years direct clinical
experience in a health care field. in
appropriate subject matter.
(2) Medical Director - physician who provides medical
assessments and is responsible for supervising all
clinical aspects of the program and for assuring the
adequacy of emergency procedures and equipment,
testing equipment, and personnel.
(3) Registered Nurse - provides nursing assessments and
services, and coordinates care in occurrences
requiring physician intervention or cessation of an
exercise session.
(4) Exercise Specialist - provides an exercise assessment.
in consultation with the medical director, plans and
evaluates exercise therapies. The exercise specialist
must either:
(A) Be certified by the ACSM as an exercise
specialist or as a program director; or
(B) Be supervised by a program staff member who
is certified by the ACSM as an exercise
specialist or as a program director and:
([} have a bachelor'sdegree in a health or
fitness field;
(ii) have at least one year's experience
working full-time with adult fitness or
cardiac rehabilitation programs;
(iii) be certified in senior lile saving or
supervised by_ a staff member certified
in senior life saving if an aquatic
program is offered.
(5) Mental Health Professional ; provides directly or
assists program staff fn completion of the mental
health screening and referral, if indicated, for further
mental health services.
(6) Dietitian or Nutritionist - provides directly or assists
program staff in completion of tlie nutrition
assessment and referral, if indicated, for further
nutrition services.
(7) Supervising Physician. Physician Assistant, or Nurse
Practitioner - medicalperson who is on-site during the
operation of programs that are not located within a
hospital.
(8) DVRS or other Vocational Rehabilitation Counselor -
screens patients who may be eligible for and
interested fn vocational rehabilitation services,
develop s assessment and intervention strategies, and
provides other services as needed to meet the
vocational goal(s) of patients who may be eligible for
and interested in services.
Authority G.S. 131E-169.
.1302 POLICIES AND PROCEDURES
The program director shall assure that written policies and
procedures arc adopted by the prograin. approved by the medical
director, and available to and implemented by staff. At a
minimum, these policies and procedures shall include the
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386
m^^^
PROPOSED RULES
following areas:
:i)
t3j
ill
admission of patients and orientation to the program;
patient assessment, care planning, and implementation
of therapies;
patient follow-up evaluations, including progress
toward cardiac rehabilitation goals;
patient discharge;
medical records, in accordance with Rule .2002 of
this Subchapter;
(6) orientation ot' al] program personnel;
(7) maintenance of personnel records which include job
descriptions, verification of credentials, continuing
education and current competencies;
(8) use and orientation of volunteers;
(9) communication with patient's referral and personal
physicians;
(10) provisions for reporting and investigating complaints
and accidental events regarding patients, visitors and
personnel (incidents) and corrective action taken;
(11) emergencN procedures;
( 12) a preventative maintenance program to assure all
equipment is maintained i_n safe and proper working
order and in accordance with the manufacturer's
(13)
recommendations; and
quality improvement program.
Aiithorirx G.S. I31E-I69.
.1303 CONTINUOUS QUALITY IMPROVEMENT
(a) The cardiac rehabilitation program shall have an ongoing
Continuous Quality Imprcnement ( CQI i program which
identifies quality deficiencies and addresses them with corrective
plans of action, as indicated.
(b) The CQI program shall evaluate the appropriateness,
effectiveness, and quality oi' the cardiac rehabilitation program,
with findings used to verify policy implementali(>n. to identify
problems, and to establish problem resolution and policy
rev ision as necessary.
(c) The CQI program shall consist of an overall policy and
adminislratic^n review, including admission and discharge
policies, emergency care, patient records, personnel
qualificationsand program evaluation. Data to he assessed shall
include, at a minimum, the following;
( 1 ) number of patients in the program;
(2) average length (weeks) patients are in the program;
(?<) patient clinical outcomes;
(4) adequacy of staff to meet program/patient needs;
(5) reasons for discharge; and
(6) untoward events.
(d) A sample of active and closed records shall he reviewed
at least quarterly to assure program policies are followed and
the program is in compliance with the Article and the rules
contained in this .Subchapter.
(e) Documentation of the CQI program shall include the
criteria and methods used to collect and analyze data,
identification of quality deficiencies, and any aclion(s) taken by
the cardiac rehabilitation program as a result of C^QI findings
Aiitlwrir\ G.S. 131E-I69.
SECTION .1400 - PATIENT RIGHTS
.1401 PATIENT RIGHTS
(a) Prior to or at the time of admission, the program shall
provide each patient with a written notice of the patienl'srights
I
and responsibilities. The program shall maintain documentati on
showing that aH patients have been informed of their rights and
responsibilities.
(b) Each patient's rights shall include, at a minimum, the right
to;
be infonned and participate in devekiping the patient's
plan of care;
voice grievances about the care provided, and not be
subjected to discrimination or reprisal for doing so;
confidentiality ol the patienl'srecords;
be informed of the patienl'sliabilily for payment for
services;
Oi
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ill
(4)
Hi
(6)
til
be informed of the process for acceptance and
continuation of service and eligibility dcterminatit'n;
accept or refuse services; and
be advised of the program's procedures for discharge.
(c) The program shall prov idc all palicnls with a iclephonc
number for infomtation. questions or complaints about serv ices
provided by the program. The program shall also provide th_^
Division Complaints Hotlin e number or the Department rJI
Health and Human Services Careline number.
(d) The program shall investigate, within seven davs.
complaints made to the program by the patient, the patient's
family, and/or significant other, and must document both the
existence of the complaint and the resolution of the complaint.
Amhorln G.S. BlE-169.
SECTION .1500 - ADMISSION AND DISCHARGE
.1501 ADMISSION AND DISCHARGE
(a) .All patients admitted to the program shall have a refenal
from a physician.
(b) Prior (o discharging a patient, the interdisciplinary team
shall develop a discharge plan. At a minimum, the discharge
plan shall include inslruclic^ns as to how to achieve or maintain
the goals established in the cardiac rehabilitatiim care plan.
(c) Upon discharge from the program, a discharge summa iA
as outlined in Rule .2002( a )( 10) of this Subchapter, shall be sent
to the personal or referring physician.
AiithorhxG.S. L^lE-169.
SECTION .1600 - PATIENT ASSESSMENT
.1601 PATIENT ASSESSMENT
(a) Within five weeks of a patient's admission to ijie program .
i
387
NORTH CAROLINA REGISTER
September /. 1999
14:5
PROPOSED RULES
i2j
14)
ill
the interdisciplinan' team shall complete and document a cardiac
rehabilitation assessment. At a minimum, the assessment shall
include the components specified in this Rule.
V ib] Medical Assessment:
(1 ) cardiovascular evaluation as to present diagnosis,
therapy, and a discharge summary of the patient's last
hospitalization; or
statement by referring physician as to present
diagnosis, and therapy;
resting 12-lead ECG;
medical record documentation prior to or dur i ng the
first exercise session of ECG. hemodynamic data, and
the presence or absence of symptoms, preferably
determined by a graded exercise test. A graded
exercise test shall not be required when deemed
unnecessary by the patient's attending or personal
physician;
fasting blood chemistry, as indicated, to include total
cholesterol, hi^ih density lipoprotein (HDL)
cholesterol, low density lipoprotein (LDL)
cholesterol, triglycerides, and other comparable
measures; and
(6) simple spirometry, if clinically indicated.
(c) Physical Assessment:
( 1 ) functional capacity as determined b\ measured or
predicted equivalents (METs);
height, weight, and/or other anthr(^pometric measures
(i.e.. body mass index, percent body fat, waist-lo-hip
ratio, girth measurements);
current and past exercise history; and
physical limitations and disabilities that may impact
rehabilitation.
(d) Nursing Assessment:
Oi
O)
recovery from recent cardiac events;
{?<) presence of comorbidities;
(4) assessment of medications; and
(5) educational needs.
(e) Nutrition .Assessment:
( 1 ) review of medical history;
eating patterns as measured by a food diary, food
frequency questionnaire, or an acceptable alternative;
fasting blood chemistries as described in
♦
ill
01
141
coronary risk profile;
current symptoms such as angina or dyspnea, and
l2i
lii
111
described in
»
Subparagraph (b)(5) of this Rule;
anthropometric measures as _
Subparagraph (c)(2) ol this Rule;
(5) behavioral patterns;
(6) identification oi nutritional goals.
Ill Mental Health Assessment:
( 1) past history of mental illness including depression,
anxiety, and/or hcistilily or anger; and
(2) present mental health funclicming and need for
referral to a mental health professional.
(g) Vocational Assessment:
( 1 ) vocational questionnaire to determine current
vocational status, description of physical requirements
of job, working conditions, psychological demands as
perceived by the patient; and
(2) the need for vocational rehabilitation services.
AutlwrinG.S. U I El 69.
SECTION .1700 - CARE PLANNING AND FOLLOW-
UP EVALUATION
.1701 CARE PLANNING
(a) Within five weeks of a patient's admission to the program.
the interdisciplinary team shall develop a cardiac rehabilitation
care plan for the patient based upon assessments completed as
required under Section .1600 oi this Subchapter.
(b) The cardiac rehabilitation care plan, at a minimum, shall
include:
( 1 ) the patient's exercise therapy;
(2) nutrition services, if indicated;
(3) mental health services. H' indicated;
(4) vo cational services if, indicated;
(5) lucational counseling;
(6) cardiac rehabilitation goals; and
(7) discharge planning.
(c) Within six weeks of the patient's admission to the
program, a copy of the cardiac rehabilitation care plan shall be
sent to the patient's personal and referring physicians.
Aiahorm G.S. lilE-169.
.1702 FOLLOW-UP EVALUATION
(a) The interdisciplinary team members shall attend monthly
meetings for follow-up evaluation of patients' progress toward
cardiac rehabilitation goals. Changes to each patient's cardiac
rehabilitation care plan shall be made as needed based on
cc:)ntinued evaluations. Any changes made in the patient's
cardiac rehabilitation care plan shall be recorded in the medical
record and sent to the patient's personal and referring
phvsician(s).
(b) If an}^ staff member cannot attend, the reason for the
absence and the means of communicating information prior to
and after the meeting shall he documented.
(c) The personal and referring physician(s) shall be informed
of any complication or change in patient status while in the
program.
(d) Progress notes shall be recorded in the patient's medical
record evaluating progress toward goals established from the
plan of care.
Autlwim G.S. 131 E- 169.
SECTION .1800 - PROVISION OF SERVICES
.1801 PERSONNEL
(a) Al least one ACLS certified and one other staff member
shall be present at the site during all program hours.
(b) For cardiac rehabilitation programs that are not located
14:5
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September I, 1999
388
i^^Qj
PROPOSED RULES
within a hospital or a hospital emergency resuscitation team is
not available to respond m an emeriiencv. a supervising
physician, physician assistant, or nurse practitioner shall he on-
site during all program hours.
Aiithoritx G.S. I.^IE-169.
.1802 EXERCISE THERAPY
(a) The medical director, in consultation with program staff.
shall establish staff to patient ratios for exercise therapy sessions
based on medical acuity, utilizing an acceptable risk
stratification model.
(h) If any patient has not had a graded exercise test prior to
the first exercise session, the patient'sfirst exercise session must
include objective assessment ot hemodynamic data. ECG. and
symptom response data.
(c) Unless contraindicated bv medical and laboratory
assessments or the cardiac rehabilitation care plan, each patient's
exercise therapy shall include:
( 1 ) mode of exercise therapy including, but not limited to:
walk/jog, aquatic activity, cycle ergometry. arm
ergometrv. resistance training, stair climbing, rowing,
aerobics;
(2) intensity:
(A) up to 8,S percent of symptom-limited heart rale
reserve;
(B) up to 80 percent of measured maximal oxygen
consumption;
(C) rating oi' perceived exertion (RPE) of JJ. to 13
li a graded exercise test is ruH performed; or
(D) for myocardial infarction patients: heart rate
not to exceed 20 beats per minute above
standing resting heart rate if a graded exercise
test js not performed: and for post coronary
artery bv-pass ^raft patients: heart rate not to
exceed 30 beats per minute above standing
resting heart rate if a graded exercise test is not
performed;
duration: uji to 60 minutes, as tolerated, including a
minimum of five minutes each for warm-up and cool-
down;
frequency: minimum of three days per week.
The patient shall he monitored through the use of
electrocardiography during each exercise therap y session. The
frequency ot' the monitoring shall be based on medical acuity
and risk stratification.
(e) At two week intervals, the patient's adherence to the
cardiac rehabililation care plan and progress tcnsard goals shall
he monit(>red by an examination of exercise therapy records and
documented.
(f) The exercise specialist shall be responsible for
consultation with the medical director or the patient's personal
physician concerning changes m the exercise therapy, results of
graded exercise tests, as needed or anticipated (e.g. regular
follow-up intervals, graded exercise test conducted, or
medication changes). Feedback concerning changes m the
i2i
14]
exercise therapy shall he discussed with the patient and
documented.
(g) Diabetic patients who are taking insulin and/or oni
I
hypoglycemic agents for control ol.' diabetes shall have blooc"
sugars monitored for at least the first week oX cardiac therap\
sessions in order to establish the patient's l evel of control and
subsequent response to exercise. Cardiac rehabilitation staff
shall record blood sugar measurements pre- and post-exercise.
Patients whose blood sugar values are considered abnormal shall
be monitored until better diabetic control is established. Snacks
shall be available in case oi' a hypoglycemic response.
Aiithorin G.S. 13 IE- 1 69.
.1803 NUTRITION SERVICES
If indicated, based on itie nutrition assessment and cardiac
rehabilitation care plan, each patient's prt)gram shall include the
following nutrition services:
(1 ) interpretation and feedback on tfie patient's eating
patterns, blood chemistries, anthropometrics, and
behavioral patterns;
(2) identification of a therapeutic diet plan to determine.
at a minimum, a reasonable bod\ weight, caloric, and
fat intake;
(3) patient counseling and/or behavioi' modi llcation based
on the therapeutic diet plan and goals.
AiithorinG.S. 13 IE- 169.
I
.1804 MENTAL HEALTH SERVICES
It' indicated, based on tlie mental health assessment and
cardiac rehahilitati(m care plan, each patient's program shall
include the t'ol lowing mental health ser\ices:
( 1 ) feedback trom mental health assessment to the
patient; and
(2) present mental health functioning and need for
referral to a mental health professional for evaluation
or treatment.
AnrhoriryG.S. 13IE-I69.
.1805 VOCATIONAL REHABILITATION
COUNSELING AND SERVICES
(a) The cardiac rehabilitation program shall have a \\ritten
agreement, with the local DVRS office or other vocational
rehabilitationcounselor/services, which specifies the following:
( 1 ) The program shall administer u Vocational
Questionnaire to patients.
(2) After administering the ViK'ationaK)uestionnaire, the
program shall refer to the DVR.S or I'ther vocational
rehabilitati(m counselor/services I 'latienis who mav fie
eligible for and desire services.
(3) The DVRS or other vocational rehabilitation ^
counselor shall provide feedback to ifie caidiacm
rehabilitation program regarding the eligibility for
DVRS or other vocational scr\ ices ot referied
389
NORTH CAROLINA REGISTER
September 7, 1999
14:5
PROPOSED RULES
(4] The
patients.
The DVRS
or other vocational rehabilitation
♦
counselor shall provide proiircss reports for patients
who are receiviniz DVRS or other vocational
rehabilitation services.
(5]
The DVRS or other vocational rehabilitation
counselor shal l attend monthly staff meetings in
which eligible vocational rehabilitation clients are
discussed. If the counselor cannot attend, the reason
for the absence and the means oi' communicating
information prior to and after the meetini; shall be
documented and attached to the stalTmg report.
(b) The cardiac rehabilitation program must have written
documentation that feedback as described iji Subparagraph
(a)(3) of thjs Rule and progress reports as described in
Subparagraph (a)(4) of this Rule have been communicated to the
cardiac rehabilitation program by the DVRS or other counselor
and, if not, the reason(s) why.
(c) If the program is not able to complete a written agreement
with the local office of DVRS or other vocational rehabilitation
counselor as outlined in Paragraph (a) ot' this Rule, the program
shall have documentation that specifies why such an agreement
was not completed.
Aiithorin- G.S. lSlE-169.
1806 PATIENT EDUCATION
(a) Each patient'scardiac rehabilitation care plan shall include
ytrticipation in the program's basic education plan. At a
minimum, the education plan shall include the following topics:
( 1 ) basic anatomy, physiology, and pathophysiology of
the cardiovascular system;
(2) risk factor reductions, including smoking cessation
and management oi' blood pressure, lipids, diabetes,
and obesity;
(-3) principles of behavior modification including
nutrition, exercise, stress management and other
lifestyle changes;
(4) relaxation training offered at least once per week by
staff trained in relaxation lechniciues;
(5) cardiovascular medications including compliance,
interactions, and side effects;
(6) basic principles of exercise physiology, guidelines for
safe and effective exercise therapy, and guidelines for
vocational/recreational exertional activities;
(7) recognition of cardiovascular signs, symptoms and
management; and
(8) environmental considerations such as exercise in hot
or cold climates.
(b) The educational program shall include individual or group
sessions utilizing written, audio, and/or visual educational
materials as deemed appropriate and necessary by proizram staff.
(c) Each session shall fie documented and presented on a
^Hating basis such that each patient has access to all materials
and classes offered.
id] Documentati(tn shall be included in each patient'smedical
record to indicate which educational programs the patient
attended.
Authorin G.S. 13JE-169.
SECTION .1900 - EMERGENCIES
.1901 EMERGENCY PLAN
A written plan approved and signed by the medical director
shall be established to handle any emergencies oc:urring on site
while cardiac rehabilitation services are being provided. All
areas oi" the pre mises pertinent to program operation shall be
included. The plan shall address the assignment of personnel
and availability oi equipmeni required in an emergency.
Authoritx G.S. IJlE-169.
.1902 EMERGENCY EQUIPMENT
The following equipment and supplies must be available and
operable in the event of an emergency and must fie maintained
according to manufacturer' srecommendations;
(1) suction equipment (portab ' • y,
defibrillator (portable);
intubation equipment;
medications;
oxygen tank supply;
(21
ill
141
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161
121
regulator and mask for nasal cannula; and
communication system to access emergency medical
ser\'ices.
Authoritx G.S. 131E-169.
.1903 EMERGENCY DRILLS
(a) At least six patient emergency drills shall be conducted
each year and shall be documented.
(b) Drill sites shall he rotated through aH k)cations used by
patients while participating in program activities.
(c) The drill documentation and effectiveness of emergency
drills shall f>c reviewed and signed by the medical director or
supervisint; physician.
Authoritx G.S. J. ^ IE- 1 69.
SECTION .2000 - MEDICAL RECORDS
.2001 POLICIES AND PROCEDURES
The program shall develop and implement policies and
procedures to include at least the folK)wing:
( 1 ) maintenance of a complete, accurate, and organized
medical record for each patient admitted to the
program;
confideiuiality oi records;
accessibility of medical record information to the
patient, program staff, and non-employees;
authentication oi' entries in medical records including
hard copy records and those kept in electronic
medium such as computerized records; and
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390
wm
PROPOSED RULES
(3) retention and disposition of records in accordance
with the NC Statutes oi Limitations. G.S. 1-15. 1-17.
Aiithorin G.S. I.^IE-169.
.2002 CONTENT OF MEDICAL RECORDS
(a) The medical record shall contain at least the following
information:
H]
16]
m
IHJ
(9)
0)
patient identification data;
medical history and, uhen applicable, hospital
discharge summary;
graded exercise data, if available;
resting 12-lead ECG;
signed physician referral;
records of blood chemistry analyses;
signed informed consent lo participate in the program;
progress notes and response to the cardiac
rehabilitation care plan;
al] records of each discipline's participation in the
patient'scardiac rehabilitation care plan;
a discharge summary which describes the patient's
progress while in the program, reason(s) for
discharge, the post-discharge plan, and follow-up as
indicated;
(11)
miscellaneous clinical records developed pursuant to
the palient'scourse of treatment,
(b) In the case of hard copy medical records, the following
shall apply;
( 1 ) the patient's name must he recorded on each page of
the record;
(2) all entries in the records shall be legible and
authenticated with a signature, title, and date by the
individual making the entry; and
(3) faxed entries, including orders, are acceptable as long
as a hard copy is incorporated in the medical record
(note: thermal paper faxes are not acceptable).
£cj At Us option, the program may maintain all or part of its
medical records in a form other than hard copy, such as
electronic medium. Entries in such a record shall he
authenticated according to program policies and may include
authentication measures such as pers(inal computer entry codes
or electronic signatures. However, when requested by the
Division or other State officials, the program must be able to
produce a hard copy printout of the record.
(d) Medical record information may be stored, such as when
records are thinned or patients are discharged, in a form other
than hard copy, but the program must be able to produce a hard
copy printout of the record d ' reuuested hi the Division or other
State officials.
AialH)rit\ G.S. IJIE-I69.
SECTION .2100 - FACILITIES AND EQUIPMENT
.2101 PHYSICAL ENVIRONMENT AND
EQUIPMENT
(a) The program shall provide a clean and sale environnieiil.
(b) Equipment and furnishings shall be cleaned not less than
weekly.
(c) All areas of the facility shall be orderly and free of debrJl
and with clear traffic areas.
(d) A written and documented preventative maintenanc e
program shall be established to ensure that aH equipment js
calibrated and maintained hi sale and proper working order in
accordance with manufacturers' recommendations.
(e) There shall be emergency access to all areas a patient mav
enter, and floor space must allow easy access of personnel and
equipment.
(f) Exit signs and an eyacuation plan shall be posted and
clearly visible. The evacuation plan shall detail evacuaiion
routes for patients, staff, and visitors in case of fire or other
emergency.
(g) No smoking shall be permitted in patient care or treatment
areas.
AiirlwrirxG.S. 1 31 E- 169.
.2102 GRADED EXERCISE TESTING LABORATORY
If the program performs graded exercise testing, the folhnv ing
facilities and equipment shall be available:
( 1 ) space for physical examination which allows for
visual privacy;
(2) adequate space and temperature and humidity controls
for exercise as described under "Phvsicc
u
Environment and Equipment" of' this Subchapter;
{?<) 12-lead ECG equipment for recording the ECG
during exercise testing;
(4) oscilloscope for ECG monitoring or continuous
recording;
(5) treadmill, bicycle ergometer. or arm crank ergomeier;
(6) blood pressure cuff and sielhoscope;
(7) emergency procedures, equipment, and supplies as
described in "Emergencies" of this Subcliapter; and
(8) access to spirometer for pulmonary function testing.
Authorin G.S. BIE- 1 69.
.2103 EXERCISE THERAPY
The following equipment shall be available and operable for
the provision ot' exercise assessment and therapy :
( 1 ) ECG and oscilloscope;
(2) hk^md pressure cuff and stethoscope;
(3) large clock yy ith sweep second hand;
(4) blood glucose testing equipment; and
(5) equipment lor the performance of anthropometric
measurements such as skinfold caliper, stadiomeler.
tape measure, and physician'sscale.
Antlwrirx G.S. 13 IE- 169.
i
.2104 NUTRITION SERVICES
If provided on site, the fcilUnving facilities and equipmen i
391
NORTH CAROLINA REGISTER
September I, 1999
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PROPOSED RULES
shall be available for the provision of nutrition services:
( 1) space that allows for confidential interviewing and
k counseling;
^ (2] nutrition guidelines and means of nutrient analysis:
and
educational materials, as deemed appropriate by the
program'sdietitian/nutritionist. forpatient distribution
and use during nutrition therapy counseling.
ill
Authority G.S. 131E-169.
.2105 MENTAL HEALTH SERVICES
If provided on site, space shall be available for the provision
of the mental health services to allow for confidential
interviewing and counseling.
Authority G.S. 131E-169.
.2106 VOCATIONAL REHABILITATION SERVICES
If provided on site, space shall be available for the provision
of vocational rehabilitation services to allow for confidential
interviewing and counseling.
(2) The amendments also specify that coun review of decisions
may be sought by bringing a civil action in any State Court of
competent jurisdiction or any district court of the United States
of competent jurisdiction. The previous federal law did not
address court review.
Comment Procedures: Comments may be presented orally or
in writing at the hearing. Oral statements may be limited at the
discretion of the hearing officer. Written comments may be
submitted until October I, 1999 to Jackie Stalnaker, Division of
Vocational Rehabilitation Senices. 2801 Mail Service Center,
Raleigh, NC 27699-2801. To obtain additional information or
indicate need for alternative communication format contact Ms.
Stalnaker in writing or by phone (919) 733-3364 or (919) 733-
5924 (TDD). In addition a fiscal note is available upon written
request from the same address.
Fiscal Impact
State Local
Sub.
None
/
CHAPTER 20 - VOCATIONAL REHABILITATION
Authorities. 131E-169.
SUBCHAPTER 20B - PROCEDURE
Wf^TOtke is hereby given in accordance with G.S. 150B-21 .2
x\ that the DHHS - Division of Vocational Rehabilitation
Services intends to amend the rules cited as 10 NCAC 20B
. 0224, .0228. Notice of Rule-making Proceedings was published
ill the Register on March 1. 1999.
Proposed Effective Date: July 1, 2000
A Public Hearing will be conducted at 2:00 p.m. on September
21, 1999 at the Division of Vocational Rehabilitation Senices,
Main Conference Room. 805 Ruggles Drive. Dorothea Dix
Campus, Raleigh. NC.
Reason for Proposed Action: On August 7, 1998 the Federal
Workforce Investment Act of 1998 (P.L. 105-220) was enacted.
Included in this Act were the 1998 Amendments to the
Rehabilitation Act. Section 102(c) of the Rehabilitation Act
Amendments made several changes to the requirements for
Stales to establish procedures for impartial due process
hearings as follows:
( 1 ) The amendments require that the procedures enable a paiT\-
in an appeal to seek a review of a hearing officer's decision by
the head of the designated State Agency (the Department of
Health and Human Senices) or an official of the Governor's
Office. Previous federal law pennitted a review of the hearing
mfficer's decision by the Division Director upon his own
discretion. The Federal agency has indicated there will be a 30
day deadline for the review.
SECTION .0200 - CONTESTED CASES:
ADMINISTRATIVE REVIEWS: APPEALS HEARINGS
.0224 SECRETARY'S REVIEW AND FINAL
DECISION
(a) The d i v i sio n directo r Either party may request an
impartial review of the hearing officer's decision and render the
final decision, by the Secretary of the Department of Health and
Human Services within 20 days of the receipt of the decision.
(b) The Secretary may delegate the responsibility for
r eviewing the hearing officer's decision and making the final
decision to another employee ol' the Department but shall not
delegate the responsibility to an^ officer or einployee of the
Division.
(c) If the divis i on di r ector decides to review the hearing
office r 's dec i sion, In conducting the review, the direc t or
reviewing official shall send the written notification to both
parties and allow the submission of additional evidence as
required by Sec. 102 [c] of the Rehabilitation Act ot' 1973 (as
amended by the Rehabilitation Act Amendments of 1998. f*4
C.F.R. .^ 6 1.4S(c)(2)( i vl and(vii). PL. 105-220). The vvritten
notification shall be gi\ en to the applicant orclient personally or
by certified mail. If given by certified mail, it shall be deemed
to have been given on the delivery date appearing on the return
receipt.
(trXd) The division director's decision to r ev ie w tlie hea rin g
officer's decision reviewing official's review shall be based on
the following standards of review-
ID Is the hearing officer's decision arbitrary, capricious,
an abuse of discretion, or otherwise unreasonable'?
14:5
NORTH CAROLINA REGISTER
September I, 1999
392
■■IBBSg??^
PROPOSED RULES
(2) Is the hearing officers decision supported by
substantial evidence, i.e., consistent with facts and
applicable federal and state policy?
{?•) In reaching the decision, has the hearing officer given
appropriate and adequate interpretatitm to such factors
as:
( A ) the federal statute and regulations as they apply
to specific issue(s) in question;
(B) the state plan as it applies to the specific
issue{s) in question;
(C) division rules as they apply to the specific
issue{s) in question;
(D) key portions of conflicting testimony;
(E) division options in the delivery of services
where such options are permissible under the
federal statute; and
(F) restrictions in the federal statute with regard to
such supportive services as maintenance and
transportation.
fd) [ej Upon a detciiriinatio n to r e v iew the hearing officer's
dec i sion. The di\ ' isio n director reviewing official shall make the
final decision and provide such decision in writing to both
parties within .^0 days of pr ov i ding n otice of int en t to r evi e w, the
date the request for a review of the hearing officer .s decision
was received. The decision shall include a full report of the
findings and the grounds lor the decision, the w ri tte n re p o r t
thereof as required liy 34 C.F.R. ,16 1 .48(c )(2)( v i ii ) and (ix). The
di vis i on d ir ecto r re\'iewing official shall not overturn or modify
a decision, or part of a decision, of an impartial hearing officer
that supports the position of the individual except as allowed
I
under Sec. 102(c) of theRehabilitation Act of 197,1 (as amended
by the Rehabilitation Act Amendments oi 199?S. P.L. -Ht2--5fi¥
105-220). Sec ti on l02(d)(,l>(C). The final decision shall bi
given to the both ap p licant parties or climt personally or b^
certified mail. If given by certified mail, it shall be deemed to
have been given on the delivery date appearing on the return
receipt.
(f)te) The hearing officer's decision shall be the final decision
under the conditions specified in 3 4C.r. RTT^ h4 8(c)(2)( Tt: Sec.
102(c) of the Rehabilitation Act of 197,1 (as amended by the
Rehabilitation Act Amendments of 1998, P.L. 105-220).
(g)ffi The division director shall forward a copy of the final
decision, whether issued under fdl [eJ or fd (f) of this Rule, to
the depu t y director Chief of Operations, the CAP director, the
regional director, and the applicant's or client's representative,
as appropriate. A copy shall also be included in the individual's
official case record.
Aialwriu G.S. 143-545.1: 143-546. 1: 15()B-1: P.L 105-220.
.0228 CIVIL ACTION
Judicial review of decisions issued pursuant to Rules .0202
through .0225 of this Section shall be as spccifieil in G.S. 150B.
A r licle4 with th e e x c epti o n of G.S. 150D 51 ( a) wh i ch shall not
apply. Sec. 102(c) of the Rehahililation Act of ]973 (as
amended by the Rehabilitation Act Anicndnients oi 1998, P.L.
105-220).
Authorin G.S. 143-545.1: 143-546.1: I50B-I: P.L. 105-220. %
<
393
NORTH CAROLINA REGISTER
September 1, 1999
14:5
TEMPORARY RULES
The Codifier of Rules has entered the following temporary rule(s) in the North Carolina Administrative Code. Pursuant to G.S.
150B-21. 1(e). publication of a temporary rule in the North Carolina Regi.ster sen'es as a notice of rule-making proceedings
unless this notice has been previously published by the agency.
TITLE 10 - DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Rule-making Agency: DHHS-Division of Medical Assistance
Rule Citation: 10 NCAC 26H .0304
Effective Date: September 8. 1999
Findings Reviewed by: Beecher R. Gray
Authority for the rule-making: G.S. 108A-25(b}: 108A-54;
W8A-55: 42 C.F.R. Part 447. Subpart C
Reason for Proposed Action: The application of the upper
payment limit is an aniuuil test peiformed by the Division of
Medical Assistance to assure that the program is in compliance
with the applicable federal regulations. The review this year of
the cost report information for the fiscal period ending June 3U.
1998, adjusted forward for inflation, would be expected to have
a total of payments that would exceed the total of cost.
VComment Procedures: Written comments concerning this rule-
making action must be submitted to Portia W. Rochelle. Rule-
making Coordinator. Division of Medical Assistance. 1985
V instead Drive. 2504 MailSerx'ice Center, Raleigh. NC 27699-
2504.
CHAPTER 26 - MEDICAL ASSISTANCE
SUBCHAPTER 26H - REIMBURSEMENT PLANS
SECTION .0300 - ICF-MR PROSPECTIVE RATE PLAN
.0304 RATE SETTING METHOD FOR NON-STATE
FACILITIES
(a) A prospective rate shall be determined annually for each
non-state facility to be effective for dates of service for a 1 2
month rate period beginning each July 1. The prospective rate
shall be paid to the provider for every Medicaid eligible day
during the applicable rate year. The prospective rate may be
determined after the effective date and paid retroactively to that
date. The prospective rate may be changed due to a rate appeal
under Rule .0308 of this State Plan or facility reclassification
under Paragraph (b) of this Rule. Each non-state facility, except
those facilities where Paragraph (v) of this Rule applies, shall be
classified into one of the following groups:
m (1) Group 1- Facilities with .32 beds or less.
(2) Group 2- Facilities with more than .32 beds.
(3) Group3-Facilities with medically fragile clients. For
rate reimbursement purposes under this Rule
medically fragile clients are defined as any individual
with complex medical problems who have chronic
debilitating diseases or conditions of one or more
physiological or organ systems which generally make
them dependent upon 24-hour a day
medical/nursing/health supervision or intervention.
(4) Facilities in group 1 or 2 in Subparagraph (a)( 1 ) or (2)
of this Rule shall be further classified in accordance
to the level of disability of the facility's clients, as
measured by the Developmental Disabilities Profile
(DDP) assessment instrument which along with the
scoring instrument are hereby incorporated by
reference, including subsequent amendments and
editions. This material is available for inspection and
copies may be obtained from the Division ot Medical
Assistance, 1983 Umstead Drive. Raleigh, North
Carolina 27603 at a cost of twenty cents ($.20) per
page. A summary of the levels of disability is shown
in the following chart:
FACILITY DDP SCORE
Low
High
200.00
300.00
125.00
199.99
100.00
124.99
75.00
99.99
50.00
74.99
Level
1
2
3
4
5
(b) Facilities shall be reclassified into appropriate groups as
defined in Paragraph (a) of this Rule.
(1) When a facility is reclassified, the rate shall be
adjusted retroactively back to the date of the event
that caused the reclassification. This adjustment shall
give full consideration to any reclassification based on
the change in facts or circumstances during the year.
Overpayments related to this retroactive rate
adjustment shall be repaid to the Medicaid program.
Underpayments related to this retroactive rate
adjustment shall be paid to the provider.
(2) TTie provider shall be given the opportunity to appeal
the merits of the reclassification of any facility, prior
to any decision by the Division of Medical
Assistance.
(3) The provider shall be notified in writing 30 days
before the implementation of new rates resulting from
the reclassification of any facility.
(4) The providers and the Division of Medical Assistance
shall make every reasonable effort to ensure that each
14:5
NORTH CAROLINA REGISTER
September 1, 1999
394
TEMPORARY RULES
facility is properly classified for rate setting purposes.
(5) A provider shall file any request for facility
reclassification in writing with the Division of
Medical Assistance no later than 60 days subsequent
to the proposed reclassification effective date.
(6) For facilities certified prior to July 1. 199.^. the
facility DDP score calculated for fiscal year 199.^
shall be used to establish proper classification at July
1, 1995.
(7) For facilities certified after June 30, 1993. the most
recent facility DDP score shall be used to establish
proper classification.
(8) A facility reclassification review shall use the most
current facility DDP score.
(9) A facility's DDP score shall be subject to independent
validation by the Division of Medical Assistance.
(10) A new facility that has not had a DDP survey
conducted on its clients shall be categorized as a level
2 facility for rate setting purposes, pending
completion of the DDP survey. Upon completion of
the DDP survey, the facility shall be subject to
reclassification and rates shall be adjusted
retroactively back to the date of certification.
Overpayments related to this retroactive adjustment
shall be paid to the Medicaid program.
Underpayments related to this retroactive rate
adjustment shall be paid to the provider,
(c) Facility rates under this Rule shall be established at July
. 1995, under the following:
( 1 ) For facilities certified prior to July 1 . 1 993. rates shall
be derived from the 1993 cost reports.
(2) For facilities certified during fiscal year 1993-1994,
the fiscal year 1994 facility specific cost report shall
be used to derive rates.
(3) For facilities certified during fiscal year 1994-1995,
the fiscal year 1995 facility specific cost report shall
be used to derive rates.
(A) Rates for these facilities shall not be adjusted,
except for the impact of inflation under
Paragraph (k) of this Rule, until the fiscal year
1995 cost report has been properly reviewed.
Rates for these facilities shall be adjusted
retroactively back to July 1, 1995, once the
fiscal year 1 995 facility specific cost report has
been properly reviewed. Overpayments related
to this retroactive rate adjustment shall be
repaid to the Medicaid program.
Underpayments related to this retroactive rate
adjustment shall be paid to the provider.
(4) Facilities with rates established during a rate appeal
proceeding with the Division of Medical Assistance
during fiscal years 1994 or 1995 shall not have their
rates established in accordance with Subparagraph
(c)( I ), (c)(2), or (c)(3) of this Rule.
(A) The rates for these facilities shall remain at the
level approved in the rale appeal proceeding
adjusted only for infiation. as refiectcd in
Paragraph (k) of this Rule.
(d) For facilities certified after June 30, 1993, rates developed
from filed cost reports for fiscal years subsequent to 1993 ma
be retroactively adjusted if there is fountl to exist more than a
two percent difference between the filed per diem cost and either
the desk audited or field audited per diem cost for the same
reporting period. Rates developed from desk audited cost
reports may be retroactively adjusted if there is found to e.\isi
more than a two percent difference between the desk audited per
diem cost and the field audited per diem cost for the same
reporting period. The rate adjustment may be made after written
notification to the provider 30 days prior to implementation of
the rate adjustment.
(e) Each prospective rate developed in accordance with
Subparagraph (c)( 1 ), (c)(2), or(c)(3) of this Rule consists of the
sum of two components as follows:
( 1 ) Indirect care rate.
(2) Direct care rate.
(f) A uniform industry wide indirect care rate shall be
establishedforeachfacilitycategory shown under Subparagraph
(a)(l ), (a)(2), or (a)(3) of this Rule.
(1 ) The indirect rate for group 1 facilities is based on the
fiftieth percentile of the following costs incurred by
all group I facilities v\ith six beds or less, except
those related by common ov\nership or control to
more than 40 said facilities:
(.^) The sum of the cost of property ownership and
use, administrative and general, and operalio'
and maintenance of plant, as determined by the
Myers and Stauffer study performed on the
1993 base year cost reports.
(2) The indirect rate for group 2 facilities is based on the
fiftieth percentile of the costs noted in Part (f)( \hA)
of this Rule incurred by the group 2 facilities, as
determined by the Myers and Stauffer study
performed on the 1993 base year cost reports.
(3) The indirect rate for group 3 facilities is based on the
fiftieth percentile of the costs noted in Part (f)(l )(A)
o\' this Rule incurred by the group 3 facilities, as
determined by the Myers and Stauffer study
performed on the 1993 base year cost reports.
(4) The indirect rates established under Subparagraphs
(f)( 1 ), (f)(2), and (f)(3) of this Rule shall be reduced
as determined based on industry cost analysis by an
amount not to exceed four percent to account fur
expected operating efficiencies.
(g) Thedirect care rate for facilities certified prior to July I.
1 993. shall be based on the Myers and Stauffer study performed
on the 1993 base year cost reports.
( I ) The direct care rate for all facilities certified during
fiscal years subsequent to fi.scal year 1993 is based on
the first facility specific cost report filed aftec
certification. Based on said cosi report, the direct can
rate is equal to the sum of all allowable costs refiected
in the ICF-MR cost report cost centers, as included in
1^
395
NORTH CAROLINA REGISTER
September L 1999
14:5
TEMPORARY RULES
the ICF-MR cost report format effective July 1, 1993,
except for the following indirect cost centers:
. (A) Property Ownership and Use
■ (B) Operation and Maintenance of Plant and
Housekeeping-Non-Labor
(C) Administrative and General
(2) The direct care rate shall be limited to the lesser of the
actual amount incurred in the base year or the cost
limit deri- ed from the fiftieth percentile of direct care
costs incurred by the related facility group in the
fiscal year 1 993 base year, based on the Myers and
Stauffer study.
(3) The fiftieth percentile cost limit shall be reduced by
one percent each year, for the four year period
beginning July 1. 1996. in order to account for
expected operating efficiencies, as determined based
on industry cost analysis.
(4) The fiftieth percentile cost limit shall be increased
each year by price level changes calculated in
accordance with Paragraph (k) of this Rule.
(h) "^ -J indirect rate shall not be subject to cost settlement.
( 1 ) Costs above the indirect rate shall not be paid to the
provider.
(2) Costs savings below the indirect rate shall not be
recouped from the provider.
(i) The direct care rate shall be subject to cost settlement,
based on the cost report, subject to audit. Illed with the Division
of Medical Assistance.
( 1 ) Costs above the direct rate shall not be paid to the
provider.
(2) Cost savings below the direct rate shall be recouped
from the provider.
(J) Facilities with rates established during a rate appeal
proceeding with the Division of Medical Assistance during
fiscal years 1994 or 1995 may choose to cost settle under the
provisions of Paragraphs (h) and (i) of this Rule, or under the
following procedure:
( 1 ) If. during a cost reporting period, total allowable costs
are less than total prospective payments, then a
provider may retain one-half of said difference, up to
an amount of five dollars ($5.00) per patient day. The
balance of unexpended payments shall he refunded to
the Division of Medical Assistance. Costs in excess
of a facility's total prospective payment rate are not
reimbursable,
(2) The facilities subject to the Paragraph shall make the
election on cost settlement methodology on or before
the filing of the annual cost report with the Division
of Medical Assistance.
(3) .An election to follow the cost settlement procedures
of Paragraphs (h) and (i) of this Rule shall be
irrevocable.
(4) Rates established for these facilities during future rate
k appeal proceedings shall be subject to the cost
" settlement procedures of Paragraphs (h) and (i) of this
Rule.
(k) To compute each facility's current prospective rate, the
♦
direct and indirect rates established by Paragraphs (f) and (g) of
this Rule shall be adjusted for price level changes since the base
year. No inflation factor for any provider shall exceed the
maximum amount permitted for that provider by federal or state
law and regulations.
( 1 ) Price level adjustment factors are computed using
aggregate costs in the following manners:
(A) Costs shall be separated into three groups:
( i ) Labor,
(ii) Non-labor,
(iii) Fixed.
(B) The relative weight of each cost group is
calculated to the second decimal point by
dividing the total costs of each group (labor,
nonlabor. and fixed) by the total cost of the
three categories.
(C) Price level adjustment factors for each cost
group shall be established as fiillows:
(i) Labor. The percentage change for labor
costs is based on the projected average
hourly wage of North Carolina service
workers. Salaries for all personnel shall
be limited to levels of comparable
positions in state owned facilities or
levels specified by the Division of
Medical Assistance.
(ii) Nonlabor. The percentage change for
nonlabor costs is based on the projected
annual change in the implicit price
deflator for the Gross National Product
as provided by the North Carolina
Office of Slate Budget and
Management.
(iii) Fixed. No price level adjustment shall
be made for this category.
(D) The weights computed in Part (k)( 1 )(B) ofthis
Rule shall be multiplied by the rates computed
in Part (k)( 1 )(C) of this Rule. These weighted
rates shall be added to obtain the composite
inflation rale lo be applied to both the direct
and indirect rates.
(2) II necessary, the Division of Medical .Assistance shall
adjust the annual inflalion factor iji order to prevent
payment rates from exceeding upper payment limits
established by Federal RcL!ulalions.
(I) Effective July 1. 1995. any rale reductions resulting from
this Stale Plan shall be implemented based on the following
deferral methodology:
( 1 ) Rales shall be reduced for the excess of current rates
over base year costs plus inflalion.
(2) Rales shall be reduced a maximum of 50 percent oi
the fiscal 1996 inflation rale for the excess of actual
costs over applicable cost limits. This reduction shall
result in the facility receiving at a minimum 50
percent of the 1996 inflation rate. Any excess
reduction shall be carried forward lo future years.
(3) Total reduction in tulurc years related lo the excess
14:5
NORTH CAROLINA REGISTER
September 7, 1999
396
TEMPORARY RULES
reduction carried forward from Subparagraph (I )( 2) of
this Rule, shall not exceed the annual rale of inflation.
This reduction shall result in the facility receiving at
a minimum the rale established in Paragraph (1)(2) of
this Rule. Any excess reduction shall be carried
forward lo future years, until the established rate
equals that generated by Paragraphs ( f), (g), and (k) of
this Rule.
(4) Rates calculated based on Subparagraphs (1)(2) and
(3) of this Rule shall be cost settled based on the
provisions of Subparagraph (j)( 1 ) of this Rule until
the fiscal year that the facility receives full price level
increase under Paragraph (k) of this Rule.
(A) A provider may make an irrevocable election
to cost settle under the provisions of
Paragraphs (h) and (i) of this Rule during the
deferral period.
(B) Once the rates calculated based on
Subparagraphs {1)( 2) and (3) of this Rule reach
the fiscal year that the facility receives the full
price level increase under Paragraph (k) of this
Rule, then said fiscal years rates shall be cost
settled based on Paragraphs (h) and (i) of this
Rule.
(C) Chain providers are allowed to file combined
cost reports, for cost settlement purposes, for
facilities that use the same cost settlement
methodolog) and have the same uniform rate.
(D) A provider may request from the Division of
Medical Assistance permission to continue cost
settlement under Subparagraph (j)(l ) of this
Rule after the deferral period expires. Said
request shall be made each year, 30 days prior
to the cost report due date.
(m) The initial rate for facilities that have been awarded a
Certificate of Need is established at the lower of the fair and
reasonable costs in the provider's budget, as determined by the
Division of Medical Assistance, or the projected costs in the
provider's Certificate of Need application, adjusted from the
projected opening date in the Certificate of Need application to
the current rate period in which the facility is certified based on
the price level change methodology set forth in Paragraph (k) of
this Rule, or the rate currently paid to the owning provider, if the
provider currently has an approved chain rate for facilities in the
related facility category. The rate may be rebased to the actual
cost incurred in the first full year of normal operations in the
year an audit of the first year of nomial operation is completed.
( 1 ) In the event of a change in ownership, the new owner
receives no more than the rate of payment assigned to
the previous owner.
(2 ) Except in cases wherein the provider has failed to file
supporting information as requested by the Division
of Medical Assistance, initial rates shall be granted to
new enrolled facilities no later than 60 days from the
provider's filing of properly prepared budgets and
supporting iniormation.
(3)
(4)
(2)
(3)
The initial rate for a new facility shall be applicable to
all dates of service commencing with the date the
facility is certified by the Medicaid Program. a
The initial rate for a new facility shall not be entered'
into the Medicaid payment system until the facility is
properly enrolled in the Medicaid program and a
Medicaid identification number has been assigned to
the facility by the Division of Medical Assistance,
(n) A provider with more than one facility may be allowed to
recover costs through a combined uniform rate for all facilities.
( 1 ) Combined uniform rates for chain providers shall be
approved upon written request from the provider and
after review by the Division of Medical Assistance.
In determining a combined uniform rate for a
particular facility group, the weighted average of each
facility's rate, calculated in accordance to all other
provisions of this Rule, shall be used.
A chain provider with facility(s) that fall under
Paragraphs (h) and (i) of this Rule and with facility(s)
that fall under Subparagraph (1)(4) of this Rule may
elect to include the facilities in a combined cost report
and elect to cost settle under either Paragraphs (h) and
(i) or Subparagraph (1)(4) of this Rule. The cosi
settlement election shall be made each year. 30 days
prior to the cost report due dale,
(o) Each out-of-state provider shall be reimbursed at the
lower of the applicable North Carolina rate, as established by
this plan for in-state facilities, or the pro\ ider's per diem rate as^
established by the stale in which the pro\ idcr is located. An oul-B
of-state provider is defined as a provider that is enrolled in the
Medicaid program of another state and provides ICF-MR
services to a North Carolina Medicaid client in a facility located
in the slate of enrollment. Rates for out-of-state providers are
not subjeci to cost settlement.
(p) Under no circumstances shall the Medicaid per diem rale
exceed the private pay rale of a facility.
(q) Should the Division of Medical Assistance he unable to
establish a rale for a facility, based on this Rule and the
applicable facts known, the Division of Medical Assistance may
approve an interim rate.
(1) The interim rate shall not exceed the rale cap
established under this Rule for the applicable facility
group.
(2) The interim rate shall be replaced by a permanent rate,
effective retroactive to the commencement of the
interim rale, by the Division of Medical Assistance,
upon the determination of said rale based on this Rule
and the applicable facts.
(3) The provider shall repay lo the Di\ ision of Medical
Assistance any overpayment resulting from the
interim rate exceeding the subsct|uenl permanenl rale.
(r) In addition lo the prospective per i.iicm rate developed
under this Rule, effeclive luly 1 . 1992. an interim paymcnl add
on shall be applied to the total rale lo cover the estimated coslB
required under Title 29. Part 1910. Subpart 2. Rule 191().10.'^0 '
of the Ci)de of Federal Regulations. The inleiim rale shall be
397
NORTH CAROLINA REGISTER
September /, 1999
14:5
TEMPORARY RULES
I
»
I
subject to tlnal settlement reconciliation with reasonable cost to
meet the requirements of Rule 1910.1030. The final settlement
reconciliation shall he effectuated during the annual cost report
settlement process. An interim rate add on to the prospective
rate shall be allowed, subject to final settlement reconciliation,
in subsequent rate periods until cost history is available to
include the cost of meeting the requirements of Rule 1910.1 030
in the prospective rate. This interim add on shall be removed,
upon 10 days written notice to providers, should it be
determined by appropriate authorities that the requirements
under Title 29 Part 1910, Subpart 2, Rule 1910.1030 of the
Code of Federal Regulations do not apply to ICF-MR facilities.
(s) All rates, except those noted otherwise in this Rule,
approved under this Rule are considered to be permanent.
(t) In the event that the rate for a facility cannot be developed
so that it shall be effective on the first day of the rate period, due
to the provider not submitting the required reports by the due
date, the average rate for facilities in the same facility group, or
the facility's current rate, whichever is lower, shall be in effect
until such time as the Division of Medical Assistance can
develop a new rate.
(u) When the Division of Medical Assistance develops a new
rate for a facility for which a rate was paid in accordance with
Paragraph (t) of this Rule, the rate developed shall be effective
on the first day of the second month following the receipt by the
Division of Medical Assistance of the required reports. The
Division of Medical Assistance may, upon its own motion or
upon application and Just cause shown by the provider, within
60 days subsequent to submission of the delinquent report, make
the rate retroactive to the beginning of the rate period in
question. Any overpayment to the provider resulting from this
temporary rate being greater than the final approved prospective
rate for the facility shall be repaid to the Medicaid Program.
(v) ICF-MR facilities meeting the requirements of the North
Carohna Division of Facility Services as a facility affiliated with
one or more of the four medical schools in the state and
providing services on a statewide basis to children with various
developmental disabilities who are in need of long-term high
acuity nursing care, dependent upon high technology machines
(i.e. ventilators and other supportive breathing apparatus)
monitors, and feeding techniques shall have a prospective
payment rate that approximates cost of care. The payment rate
may be reviewed periodically, no more than quarterly, to assure
proper payment. A cost settlement at the completion of the fiscal
period year end is required. Payments in excess of cost are to be
returned to the Division of Medical Assistance.
(w) A special payment in addition to the prospective rate shall
be made in the year that any provider changes from the cash
basis to the accrual basis of accounting for vacation leave costs.
The amount of this payment shall be determined in accordance
with Title XVIII allowable cost principles and shall equal the
Medicaid share of the vacation accrual that is charged in the year
of the change including the cost of vacation leave earned for that
year and all previous years less vacation leave used or expended
over the same time period and vacation leave accrued prior to
the date of certification. Tfie payment shall be made as a lump
sum payment that represents the total amount due for the entire
fiscal year. An interim payment may be made based on an
estimate of the cost of the vacation accrual. The payment shall
be adjusted to actual cost after audit.
(x) The annual prospective rate, effective beginning each July
1, for facilities that commenced operations under the Medicaid
Program subsequent to the base year used to establish rates, and
therefore did not file a cost report for the base year, shall be
based on the facility's initial rate, established in accordance with
Paragraph (m) of this Rule, and the applicable price level
changes, in accordance with Paragraph (I) of this Rule.
(y ) Effective for fiscal years beginning on or after fiscal year
1998. installation cost of Fire Sprinkler Systems in an ICF-MR
Facility shall be reimbursed in the following manner.
( 1 ) Upon receipt of the documentation listed in Parts (A)
through (E) of this Subparagraph, the Division of
Medical Assistance shall reimburse directly to the
provider 90 percent of the verified cost.
(A) All related invoices.
(B) Verification from the Division of Facility
Services that the Sprinkler System is needed.
(C ) Statement from appropriate authorities that the
Sprinkler System has been installed.
(D) Three bids to install the system.
(E) Prior approval from the Division of Medical
Assistance for any installation projected to cost
more than twenty-five thousand dollars
($25,000).
(2) The unreimbursed installation cost shall be
reimbursed after audit through the annual Cost
Settlement Process. This portion shall be offset by
profits, after taking into consideration any indirect
profits and direct losses. Any overpayments
determined after audit shall be returned to the
program by the provider through the annual cost
settlement process.
(3) The installation of the Sprinkler System is subject to
Prudent Buyer Standards contained in the HCFA-15.
(4) The Sprinkler System's installation costs shall be
properly recorded on the provider's ICF-MR Cost
Report.
Hisroiy Note: Filed as a Tempormy Amendment Eff. July 8,
1993 for a period of 180 days or until the permanent rule
becomes effective, whichever is sooner:
AiduvmG.S. 108A-25(b): I08A-54; I08A-55: 42 C.F.R. Part
447. Subpart C:
Eff. December I. 1984:
Amended Eff. August 1. 1995: November f 1993: March 1.
1988:Januanl. 1987:
Temporaiy Amendment Eff. Sei)teinber 8. 1999: Aimust 7, 1998.
TITLE 21 - OCCUPATIONAL LICENSING BOARDS
CHAPTER 37 - BOARD OF NURSING HOME
ADMINISTRATORS
14:5
NORTH CAROLINA REGISTER
September 1, 1999
398
TEMPORARY RULES
Rule-making Agency: NC State Board of Examiners for
Nursiii}^ Home Administrators
Rule Citation: 21 NCAC 37D .0202: 37E .0102: 37F .0102:
37G .0102, .0201: 37H .0102
Effective Date: August 15. 1999
Findings Reviewed and Approved by: Julian Mann. Ill
Authority for the rule-maliing: G.S. 90-278: 90-280: 90-285:
90-286: 90-287
Reason for Proposed Action: The Stare Treasurer pursuant
to Budget guidelines, requires the Board to maintain a balance
of $150,000.00 in its account with the State Treasurer Senate
Bill 622 was introduced and enacted as S.L. 99-0217 to
authorize the Board to charge additional fees to prevent a
shortfall in the account. The affected parties will soon be
submitting their applications, most of which will be approved bv
the Board after October 1. 1999. the effective date of the
legislation. Therefore, the affected parries will owe the fees
after that date.
Comment Procedures: Written comments max he addressed
to Jane Baker Execurive Director. 3733 National Drive. Suite
228. Raleigh. NC 27612.
SUBCHAPTER 37D - NEW LICENSES
SECTION .0200 - APPLICATION FOR LICENSE
.0202 INITIAL LICENSURE FEE
The applicant shall send to the Beiard. prior to licensure, an
initial licensure fee of three hundred — twenty f i v e dolla r s
( $32 5 .00 ) three hundred seventy five ($375.00) when applicant
has successfully passed the e.xaminations as required hy the
Board under Sections .0600 and .0700 of this Chapter.
History Note: Filed as a Temporary Amendment Eff. July 13.
1982 for a period of 120 days to e.xpire on November 9, 1982:
Aurhority G.S. 90-280:
Eff. Februan- 1, 1976:
Amended Eff. August 1 . 1977:
Readopted Eff. October 1. 1981: December 15. 1977:
Amended Eff. February 1. 1991: October 1. 1982: December 30.
1981:
Transferred and Recodified from 2 1 NCA C37A. 0302 Eff. April
I. 1996:
Amended Eff. August I. 1996:
Tetnporaiy Amendment Eff. August 15. 1996:
Amended Eff. July I. 1998:
Teinporan Anwndment Eft. ,Aui;ust 15, 1W9.
SUBCH.APTER 37E - RECIPROCITY/ENDORSEMENT
SECTION .0100 - APPLICATIONS
.0102 APPLICATION CONTENTS |
An applicant for reciprocity/endorsement shall submit, thre*
weeks prior to the personal interview, a ct)mpleicd application,
background resume, certified college transcript(s), three
reference forms (one of which shall be from an employer) from
individuals not related to the applicant who shall certify to the
good moral character of the applicant as defined in 21 NCAC
37D .0203, licensing questionnaire(s) from e\ery state where the
applicant has held a license and a one hu n dred l\\ enty five dollar
($ 12 5.0 ) two hundred dollar ($200.00) application fee.
History Note: Authorirs- G.S. 90-280: 90-285: 90-287:
Eff. February 1, 1976:
Readopted Eff. December 15, 1977:
Amended Eff. February- 1, 1980:
Readopted Eff. October 1, 1981:
Amended Eff. August 1. 1995: August 2. 1993: February 1.
1991: May 1, 1989:
Transferred and Recodijicd from 21 A'C4C 37A .09l2<h> Eff.
April 1, 1996:
Amended Eff. Aprdl . 1996:
Tempor-ar\- Amendment Eff. August 15. 19Q9.
SUBCHAPTER 37F - TEMPOR.\RY LICENSE
SECTION .0100 - TEMPORARY LICENSE g
REQUIREMENTS |
.0102 ISSUANCE AND RENEW AL OF TEMPORARY
LICENSE
(a) An applicant for a temporary license shall request, in
writing, a temporary license package from the Board, provide a
letter from the owner or regional manager requesting the issue
of such license for the facility, stating the circumstances
necessitating the issuance of a temporary license, and submit a
completed application package including payment of a ont
hundred dollar ($100.00) two hundred dollar ($200.00) fee.
(b) After an applicant is issued a temporary license he shall
successfully pass the state examination as administered by the
Board at the next scheduled testing period to retain the
temporary license.
(c) A temporary license may be renewed at the discretion of
the Board for an additional period not to exceed a total of six
months.
(d) A temporary license shall be issued to the licensee to
permit him to practice only in the nursing home to which he is
assigned on the date of issuance.
(e) If the Board renews the temporary license, no further fee
shall be required.
History Note: Autlwrirv G.S. 90-278: 90-280: 90-285:
Eff. Februan- 1, 1980:
Amended Eff. April 15, 1980:
Readopted Eff. October!, 1981:
i
399
NORTH CAROLINA REGISTER
September 1, 1999
14:5
TEMPORARY RULES
Amended Eff. May 1. 1989: December 1. 1983: October I.
1982:
transferred and Recodified from 21 NCAC 37A . 1003 Eff. April
§7, 1996:
Amended Eff. April 1 . 1996:
Temporary Amendment Eft'. Aiieust 15. 1999.
SUBCHAPTER 37G - RENEWAL, INACTIVE,
RESTORATION AND REINSTATEMENT,
DUPLICATE
SECTION .0100 - RENEWAL REQUIREMENTS
.0102 RENEWAL FEE
Upon making application for a new certificate of registration
a licensee shall pay a biennial licensure fee of three hundred
t we nt v-fivedollars ($ -' ^25.00). three hundred seventy I'ivedollars
($375.00).
History Note: Filed as a Temporary Amendment Eff. Julx 1 3.
1982 for a period of 120 days to expire on November 9. 1982 ■
Aiithorit}- as. 90-280: 90-285: 90-286:
Eff. Februaiy 1. 1976:
Amended Eff. August I, 1977: April 8. 1977:
Readopted Eff. December 15, 1977:
Readopted w/change Eff. October 1. 1981:
Amended Eff. Februan- 1. 1991: Max 1. 1989: December 1.
J983: October 1. 1982:
transferred and Recodified from 21 NCAC 37A .0904 Eff. AprU
1. 1996:
Amended Eff. August 1. 1996:
Temporaty Amendment Eff. August 15, 1996:
Amended Eff. July 1 , 1998:
Temporary- Amendment Eff. Ausu.st 15, 1999.
SECTION .0200 - INACTIVE LICENSES
.0201 INACTIVE STATUS REQUIREMENTS
(a) An inactive list of administrators who arc not practicing
in this state shall be maintained by the Board. An administrator
who desires to be placed on the inactive status list shall make a
■written request and submit a twenty-five do ll a r ($25.00) fifty
dollar ($50.00) per year fee to the Board. Inactive status shall
only be granted on a prospective basis.
(b) A request to be placed on the inactive status list shall be
submitted to the Board no later than 30 days after expiration of
the license under 21 NCAC 37G .0101(a). Failure to submit the
request and payment of the fee within this time shall result in
automatic expiration of the license retroactive to the expiration
date.
(c) An administrator may remain on the inactive list for a
period not to exceed five four years.
piston Note: Authority G.S. 90-280: 90-285:
Eff. February 1. 1976:
Amended Eff. April 8, 1977:
Readopted Eff. December 15, 1977:
Readopted with Change Eff. October 1, 1981:
Amended Eff. February 1, 1991:
Transferred and Recodified from 21 NCAC 37A .0906 Eff. April
1, 1996:
Amended Eff. AprU 1. 1999:
Temporarx Amendment Eff. August 15, 1999.
SUBCHAPTER 37H - CONTINUING EDUCATION
SECTION .0100 - CONTINUING EDUCATION
REQUIREMENTS
.0102 CONTINUING EDUCATION PROGRAMS
OF STUDY
(a) The Board shall certify and administer courses in
continuing education for the professional development of
nursing home administrators and to enable persons to meet the
requirements of the rules in this Chapter. The licensee shall
keep a record of his continuing education hours. Certified
courses, including those sponsored by the Board, an accredited
university, college or community college, associations,
professional societies, or organizations shall:
( 1 ) contain a minimum of two classroom hours of
academic work and not more than eight classroom
hours within a 24-hour period; and
include instruction in the following general subject
areas or their equivalents:
(A) Resident Care Management;
Personnel Management;
Financial Management;
Environmental Management;
Regulatory Management;
Organizational Management.
(b) In lieu of certifying each course offered by a provider, the
Board may certify the course provider for an annual fee not to
exceed two thousand dollars ($2,(J00).
ttO(c) Certified courses not administered by the Board shall;
(1)
(2)
(B)
(C)
(D)
(E)
(F)
(2)
(3)
be submitted to the Board for approval at least 30
days prior to the presentation of the program;
be accompanicii with a fee of fifty dollars ($50.00) to
cover the cost of reviewing and maintaining records
associated with the continuing education program;
and
be approved for a period of one year from the date of
initial presentation.
(c)(d] Courses from an accredited university or community
college shall meet all requirements as outlined in Paragraphs (a)
and (h) of this Rule. A licensee submitting such courses for
continuing education credit shall submit a copy of the final grade
for said course work. Continuing education credit hours granted
by the Board shall be the same as those granted by the
institution.
td1(e) Credit may be earned for participation in
teleconfcrenced course only if there is a third party
representative of the course sponsor or the Board present to
14:5
NORTH CAROLINA REGISTER
September 1, 1999
400
—
l^
TEMPORARY RULES
\ erify the licensee's attendance throughout the course. No credit
shall be earned tor correspondence courses.
tejiij The Board shall charge a registration fee covering the
cost of continuing education courses it sponsors, not to exceed
two hundred titty dollars ($250.00).
History Note: Authority G.S. 12-3. J(c)(3): 90-278: 90-280:
90-285: 90-286:
Ejf. Felmian I. 1976:
Amended Eff. April 8, 1977:
Readopted Eff. December 15, 1977:
Readopted w/change Ejf. October 1. 1981:
Amended Ejf. August 2. 1993: Fehruarx 1. 1991: Max 1. 1989:
Februaiy 1. 1986:
Transferred and Recodified from 21 NCAC 37A .0404 Eff. April
1. 1996:
Temporan- Amendment Eff. August 15, 1999.
I
i
401 NORTH CAROLINA REGISTER September /, 1999 14:5
APPROVED RULES
»
This Section includes the Register Notice citation to Rules approved by the Rules Review Commission (RRCj a! its meeting of
June 17, 1 999 pursuant to G.S. 150B-21 .17{a){l ) and reported to the Joint Legislative Administrative Procedure Oversight
Conmiittee pursuant to G.S. I50B-21.16. The full text of rules are published below when the rules have been approved by RRC
in a form different from that originally noticed in the Register or when no notice was required to be published in the Register.
The rides published in full text are identified by an * //; the listing of approved rules. Statutory Reference: G.S. 150B-21.17.
These rules unless othenvise noted, will become effective on the 31st legislative day of the 2000 Session of the General Assembly
or a later date if specified by the agency unless a bill is introduced before the 31st legislative day that specifically disapproves
the rule. If a bill to disapprove a rule is not ratified, the rule will become effective either on the day the bill receives an
unfavorable final action or the day the General Assembly adjourns. Statutory reference: G.S. I50B-2 1.3.
APPROVED RULE CITATION
REGISTER CITATION TO THE
NOTICE OF TEXT
»
)
12
NCAC
09B
.0109-.01IO*
12
NCAC
09B
.0112*
12
NCAC
09B
,0115*
12
NCAC
098
,0207-.02O8
12
NCAC
09B
,0302-0304*
12
NCAC
09B
,0312
12
NCAC
()9B
,0403
12
NCAC
09B
,0406*
12
NCAC
09B
,0407
12
NCAC
()9B
,0414*
12
NCAC
09B
,0415
12
NCAC
09C
,0403
12
NCAC
09E
,0107
12
NCAC
lOB
,0505-,05O9
12
NCAC
lOB
,0703
12
NCAC
lOB
,0908
12
NCAC
lOB
,1002
12
NCAC
JOB
,1401
12
NCAC
lOB
,1402-, 1405*
12
NCAC
lOB
.1406
15A
NCAC
031
,0107*
15A
NCAC
03Q
,0106*
15A
NCAC
07H
.2404*
15A
NCAC
lOB
,0109*
15A
NCAC
JOB
,0204*
21
NCAC
14A
.0101*
21
NCAC
i4A
.0103*
21
NCAC
i4A
.0105
21
NCAC
i4A
.0202*
21
NCAC
i4F
.0101*
21
NCAC
I4F
.0105*
21
NCAC
I4G
.0103*
21
NCAC
141
.0109*
21
NCAC
14J
.0103
21
NCAC
14K
,0102*
21
NCAC
I4K
,0107*
21
NCAC
I4L
,0105
21
NCAC
14L
,0216*
21
NCAC
]4N
,0101-,0105*
21
NCAC
14N
.0108
21
NCAC
]4N
.0110*
21
NCAC
14N
.0112*
13:19NCR 161 1
13:19NCR 161 1
13:19 NCR 1611
13:19NCR 1611
13:19 NCR 1611
13:19 NCR 1611
13:19NCR 1611
13:19 NCR 1611
13:19 NCR 1611
13:19 NCR 1611
13:19 NCR 1611
13:19NCR 1611
13:19 NCR 1611
13: 19 NCR 1636
13: 19 NCR 1636
13: 19 NCR 1636
13: 19 NCR 1636
13: 19 NCR 1636
13: 19 NCR 1636
13: 19 NCR 1636
not required. G.S, 1508-21,4.
1508-21. 5(a)(2)
not required. G,S, 1508-21,4.
1508-2 1.5(a)(2)
13: 13 NCR 1047
not required, G,S, 1508-21,4.
1508-2 1.5(a)(2)
not required. G.S. 1508-21.4,
1508-21. 5(a)(2)
13: 19 NCR 1652
13: 19 NCR 1652
13: 19 NCR 1652
13: 19 NCR 1652
13: 19 NCR 1652
13: 19 NCR 1652
13: 19 NCR 1652
13: 19 NCR 1652
13: 19 NCR 1652
13: 19 NCR 1652
13: 19 NCR 1652
13: 1 9 NCR 1652
13: 19 NCR 1652
13: 19 NCR 1652
13:19 NCR 1652
13: 19 NCR 1652
13: 19 NCR 1652
14:5
NORTH CAROLINA REGISTER
September 1, 1999
402
^^sm
APPROVED RULES
1 1
NCAC
14N
.0601 -.0602
1 ]
NCAC
14N
.O7O1-.0702
T 1
NCAC
I40
.0102-.0103
2 1
NCAC
I40
.0106*
T 1
NCAC
140
.0107
T 1
NCAC
I4P
.0101-.0104
~l 1
NCAC
I4P
.0106-.0109
T 1
NCAC
14P
.0110*
1
NCAC
14P
.0115*
13
19 NCR
1652
13
19 NCR
1652
13
19 NCR
1652
13
19 NCR
1652
13
19 NCR
1652
13
19 NCR
1652
13
19 NCR
1652
13
19 NCR
1652
13
19 NCR
1652
TITLE 12 - DEPARTMENT OF JUSTICE
CHAPTER 9 - CRIMINAL JUSTICE EDUCATION
AND TRAINING STANDARDS
SUBCHAPTER 9B - STANDARDS FOR CRIMINAL
JUSTICE EMPLOVMENT:EDUCATION: AND
TRAINING
SECTION .0100- MINIMUM STANDARDS FOR
CRIMINAL JUSTICE EMPLOYMENT
.0109 MINIMUM STANDARDS FOR
PROBATION/PAROLE OFFICERS
In addition \o the requirements tor criminal justice officers
contained in Rule .0101 ol this Section, every probation/parole
officer employed by an agency in North Carolina shall:
(1) not have committed or been convicted of a felony;
and
(2) be a graduate of an accredited college or university,
which is accepted by the American Council on
Education (ACE ) for the Commission on Recognition
of Postsecondary Accreditation (CORPA) as
accredited, and have attained at least the baccalaureate
degree.
Histon Note: Authority G.S. I7C-6:
Ejf. January 1. 1981:
Amended Eff. August I. 2000: December I. 1987.
.0110 MINIMUM STANDARDS FOR
PROBATION/PAROLE INTAKE OFFICERS
In addition to the requirements for criminal justice officers
contained in Rule .(JlOl of this Section, every probation/parole
intake officer employed hy an agency in North Carolina shall:
(1) not have committed or been convicted of a felony;
and
(2) have attained the associate degree or have
satisfactorily completed at least 60 semester hours of
educational credit or 90 quarter hours of educational
credit at an accredited technical institute, technical
college, community college, junior college, college, or
university, which is accepted by the .American
Council t)n Education (ACE) for the Commission on
Recognition of Postsecondarv Accreditation
(CORPA) as accredited.
History Note: Authority G.S. 17C-6\
Eff. Januan- 1. 1981:
Amended Ejf. August I. 2000: December I. 1987.
Ann MINIMUM STANDARDS FOR PAROLE CASE
ANALYSTS
In addition to the requirements for criminal justice officers
contained in Rule .0101 of this Section, every parole case
analyst employed by an agency in North Carolina shall:
(1) not have committed or been convicted of a felony:
and
(2) be a graduate of an accredited college or university,
which is accepted by the American Council (in
Education (Ace) for the Commission on Recognition
of Postsecondary Accreditation (CORPA)
accredited. and have attained at least the baccalaureat'
degree.
History- Note: Authorit\ G.S. 17C-6:
Eft: April I. 1983:
Amended Eff. Auzusi 1 . 2000: December 1. 1987.
.0115 MINIMUM STANDARDS
PROBATION/PAROLE INTENSIVE OFFICER
In addition to the requirements for criminal justice officers
contained in Rule .0101 of this Section, every probation/parole
intensive officer employed by an agency in North Carolina shall :
(1) not ha\e committed or been convicted of a felony:
and
(2) be a graduate of an accredited college or university,
which is accepted by the American Council on
Education (ACE) for the Commission on Recognition
of Postsecondary Acceditation (CORPA i as
accredited, and have attained at least the baccalaureate
degree.
Histoiy Note: Authority G.S. 17C-6:
Eff. Febriuin I. 1987:
Amended Eft Aumsi I. 2000.
SECTION .0300 - MINIMUM STANDARDS FOR %
CRIMINAL JUSTICE INSTRUt TORS
403
NORTH CAROLINA REGISTER
September I, 1999
14:5
APPROVED RULES
.0302 GENERAL INSTRUCTOR CERTIFICATION
Certifications issued in this category after December 31, 1984
^hall be limited to those topics which are not expressly
Picorporated under the Specific InstructorCertitlcation category.
Indi viduals certified under the general instructor category are not
authorized to teach any of the subjects specified in Rule .0304,
entitled "Specific Instructor Certification". To qualify for
issuance of General Instructor Certification, an applicant shall
demonstrate a combination of education and experience in
criminal justice and proficiency in the instructional process to
the satisfaction of the Commission. At a minimum, the
applicant shall meet the following requirements for General
Instructor Certification:
(1) Present documentary evidence showing that the
applicant:
(a) is a high school graduate, or has passed the
General Education Development Test (GEO)
indicating high school equivalency, and has
acquired four years of practical experience as
a criminal justice officer or as an administrator
or specialist in a field directly related to the
criminal justice system; or
( b ) has been awarded an associate degree and has
acquired three years of practical experience as
a criminal justice officer or as an administrator
or specialist in a field directly related to the
criminal justice system: or
(c) has been awarded a baccalaureate degree and
m has acquired two years of practical experience
as a criminal justice officer or as an
administrator or specialist in a field directly
related to the criminal justice system; or
(d) has been awarded a graduate/professional
degree and has acquired one year of practical
experience as a criminal justice officer or as an
administrator or specialist in a field directly
related to the criminal justice system.
(2) Present evidence showing successful completion of a
commission-accredited instructor training program or
an equivalent instructor training course utilizing the
Instructional Systems Design model, an international
model with applications in education, military
training, and private enterprise.
(a) applications for General Instructor
Certification shall be submitted to the
Standards Division within 60 days of the date
the applicant successfully passed the state
comprehensive examination administered at
the conclusion of the commission-accredited
instructor training program or an equivalent
instructor training course utilizing the
Instructional Systems Design model, an
international model with applications in
'k education, military training, and private
enterprise.
(b) persons having completed a commission-
accredited instructor training course or an
equivalent instructor training course utilizing
the Instructional Systems Design model, and
international model with appplications in
education, military training, and private
enterprise, and not having made application
within 60 days of completion of the course
shall complete a subsequent commission-
accredited instructor training course in its
entirety.
Histoiy Note: Authority G.S. 17C-6;
Eff. Jaiman- I. 19HI:
Amended Eff. Aimist 1. 2000; Jid\ I. 1991; December 1 . 1987;
October I. 1985; Jaiuiurx I. 1985.
.0303 TERMS AND CONDITIONS OF GENERAL
INSTRUCTOR CERTIFICATION
(a) An applicant meeting the requirements for certification as
a general instructor shall, for the first 1 2 months of certification,
be in a probationary status. The General Instructor C jfication.
Probationary Status, shall automatically expire 12 months from
the date of issuance.
(b) The probationary instructor will be eligible for full
general instructor status, if the instructor through application at
the end of the probationary period, submits to the Commission:
( 1 ) a favorable recommendation from a school director
accompanied by certification on a
commission-approved Instructor Evaluation Form that
the instructor successfully taught a minimum of eight
hours in a commission-accredited course or a
commission-recognized in-service training course
during the probationary year. The results of the
student evaluation of the instructor must be
considered by the school director when determining
recommendation; or
(2) a favorable written evaluation by a commission or
staff member, based on an on-site classroom
evaluation of the probationary instructor in a
c o m m i s s i o n - a c c r c d i t e d course or a
commission-recognized in-service training course.
Such evaluation will be certified on a
commission-approved Instructor Evaluation Form. In
addition, instructors evaluated by a commission or
staff member must also teach a minimum of eight
hours in a ci'inmission-accredited training course or
a commission-recognized in-service training course.
(c) The term of certification as a general instructor is two
years from the dale the Commission issues the certification. The
certification may subsequently be renewed by the Commission
for two-year pcriiids. The application for renewal shall contain,
in addition to the requirements listed in Rule .0302 of this
Section, documentary evidence indicating that the applicant has
remained active in the instructional process during the previous
two-year period. Such documentary evidence shall include
proof that the applicant has, within the two-year period
preceding application Un renewal, instructed a minimum of eight
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hours in a commission-accredited training course or a
commission-recognized in-service training course; and either
( 1 ) a favorable written recommendation from a school
director accompanied by certification on a
commission-approved Instructor Evaluation Form that
the instructor successfully taught a minimum of eight
hours in a commission-accredited training course or
a commission-recogni/ed in-service training course
during the two-year period of general certification: or
(2) a favorable evaluation by a commission or staff
member, based on an on-site classroom evaluation of
a presentation by the instructor in a
commission-accredited training course or a
commission-recognized in-service training course,
during the two-year period of General Instructor
Certification. In addition, instructors evaluated hy a
commission or staff member must also teach a
minimum of eight hours in a commission-accredited
training course or a commission-recognized in-service
training course.
(d) All instructors shall remain active during their period of
certification. If an instructor does not teach a minimum of eight
hours during the period of certification, the certification shall not
be renewed, and the instructor shall file application for General
Instructor Certification, Probationary Status. Such applicants
shall be required to meet the minimum requirements of Rule
.0302 of this Section.
(e) The use of guest participants in a delivery of the Basic
Law Enforcement Training Course is permissible. Howe\er.
such guest participants are subject to the direct on-site
supervision of a commission-certified instructor and must be
authorized by the school director. A guest participant shall only
be used to complement the primary certified instructor of the
block of instruction and shall in no way replace the primary
instructor.
(f) For purposes of this Section, "commission-recognized
in-service training" shall mean any training for which the
instructor is e\aluated by a certified school director on a
commission-approved Instructor Evaluation Form. Such
training shall be objective based and documented hy lesson
plans designed consistent with the Basic Law Enforcement
Training format and documented by departmental training
records to include required post-test and testing methodology.
The signature of the school director on the
Commission-approved Instructor Evaluation Form shall verily
compliance with this Rule.
History Note: Authoritx G.S. I7C-6:
Eff.Janiian- I. 1981:
Amended Eff'. August I. 2000: Juh I, 1991: October 1. 1985;
January I. 1985. January 1 , 1983.
.0304 SPECIALIZED INSTRUCTOR
CERTIFICATION
(a) The Commission may issue a Specialized Instructor
Certification to an applicant who has developed specific
motor-skills and abilities by virtue of special training and
demonstrated experience in one or more of the following topical
areas: ^
(1) Subject Control Arrest Techniques *
(2) First Responder
(3) Firearms
(4) Law Enforcement Driver Training
(3) Physical Fitness
(6) Firearms (DOC)
(7) Unarmed Self-Defense (DOC/DYS )
(8) Medical Emergencies (DYS)
(9) Electrical and Hazardous Materials Emergencies
(b) To qualify for Specialized Instructor Certification, with
the exception of the First Responder, Physical Fitness, Youth
Services Medical Emergencies, and Electrical and Hazardous
Materials Emergencies topical areas as outlined in Rule .0304
(d), (e), (f) and (g) of this Section, an applicant must meet the
following requirements:
(1) hold General Instructor Certitlcaticm, either
probationary status or full general instructor status, as
specified in Rule .0303 of this Section: and
(2) successfully complete the pertinent
commission-approved specialized instructor training
course; and
(3) obtain the recommendation of a
commission-recognized school director.
(c) To qualify for and maintain an) Specialized Instructor
Certification, an applicant must possess a valid CP^
Certification that included cogniti\e and skills testing. ^
(d) To qualify for Specialized Instructor Certification in the
First Responder topical area, an applicant is not required to meet
the standards for issuance of General Instructor Certification, but
must qualify through one of the following two options:
( 1 ) The first option is:
(A) hold current CPR instructor certification
through either the American Red Cross or the
American Heart Association; and
(B) hold current basic Emergency Medical
Technician certification; and
(C) have successfully completed the Department of
Transportation's 40 hour EMT Instructor
Course or equivalent within the last three years
or hold a current North Carolina teaching
certificate.
(2) The second option is:
(A) hold General Instructor Certification, either
probationary status or full general instructor
status, as specified in Rule .0303 (){ this
Section; and
(B) hold current CPR instructor cerlificalion
through either the American Red Cross in the
American Heart Association: and
(C) hold current basic EMT certi fication.
(e) To qualify for Specialized Instructor Ccrtilicalion in t
Physical Fitness topical area, an applicant may become certified
through one of the following two methods:
1
led
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( 1 ) The first method is'
(A) hold General Instructor Certification, either
^ probationary status or full general instructor
■ status, as specified in Rule .0303 of this
Section; and
(B) successfully complete the pertinent
commission-approved specialized instructor
training course; and
(C) obtain the recommendation of a
commission-recognized school director.
(2) The second method is:
(A) successfully complete the pertinent
commission-approved specialized instructor
training course; and
(B) obtain the recommendation of a
commission-recognized school director; and
(C) in addition to the requirements of both (2), (A)
and (B) of this Rule, the applicant must meet
one of the following qualifications:
(i) hold a current and valid North Carolina
Teacher's Certificate and hold a
minimum of a baccalaureate degree in
physical education and be actively
teaching in physical education topics; or
(ii) be presently instructing physical
education topics in a community
college, college or university and hold a
minimum of a baccalaureate degree in
% physical education.
(f) To qualify for Specialized Instructor Certification in the
Electrical and Hazardous Materials Emergencies topical area, an
applicant is not required to meet the standards for issuance of
General Instructor Certification, but must qualify through one of
the following two options:
(1) The first option is:
(A) hold current instructor certification as a First
Responder Awareness Level Hazardous
Materials instructor; and
(B) have successfully completed the Fire Service
Instructor Methodology Course or the
equivalent utilizing the Instructional Systems
model, an international model with
applications in education, military training, and
private enterprise.
(2) The second option is:
(A) hold General Instructor Certification, either
probationary status or full general instructor
status, as specified in Rule .0303 of this
Section; and
( B ) have successfully completed a First Responder
Awareness Level Hazardous Materials course.
(g) To qualify for Specialized Instructor Certification in the
State Youth Services Medical Emergencies topical area, an
■applicant is not required to meet the standards for issuance of
General Instructor Certification, but must qualify in the
following manner:
( 1 ) havesuccessfully completed a commission-accredited
basic instructor training course or an equivalent
instructor training course utilizing the Instructional
Systems Design model, an international model with
applications in education, military training, and
private enterprise, within the 12 month period
preceding application; and
(2) hold current instructor certification in CPR and First
Aid by fulfillment of the American Red Cross
Instructor requirements.
HistonNore: Authorin G.S. 17C-6:
Eff. January I. 1981:
Amended Eff: Aiiijust 1. 200U; July J. 1991: March 1. 1990: July
1. 1989: December 1, 1987.
SECTION .0400 - MINIMUM STANDARDS FOR
COMPLETION OF TRAINING
.0406 COMPREHENSIVE W RITTEN
EXA^^NATION BASIC LAW ENFORCEMENT
TRAINING
(a) At the conclusion of a schools offering of the Basic Law
Enforcement Training Course in its entirety, the Commission
shall administer a comprehensive written examination to each
trainee who has satisfactorily completed all of the required
course work. A trainee shall not be administered the
comprehensive written examination until such time as all of the
course work is completed.
(b) The examination shall be comprised of six units as
specified in 1 2 NCAC 9B .0205(a). Each unit is designed to test
the trainees' proficiency in that unit.
(c) The Commission's representative shall submit to the
school director within five days of the administration of the
examination a report of the results of the test for each trainee
examined.
(d) A trainee shall have successfully completed the
comprehensive written examination upon achieving a minimum
of 70 percent correct answers on each of the six units as
prescribed in 1 2 NCAC 9B .0406(b).
(e) A trainee who has fully participated in a scheduled
delivery of an accredited training course and has demonstrated
satisfactory competence in each motor-skill or performance area
of the course curriculum but has failed to achieve the minimum
score of 70 percent on no more than two units of the
Commission's comprehensive written examination may request
the Director of the Standards Division to authorize a
re-examination of the trainee in only those units for which
he/she failed to make a passing score of 70 percent:
(1 ) The trainee's request for re-examination shall be made
in writing on the Commission's form and shall be
received by the Standards Division w ithin 30 days of
the examination.
(2) The trainee's request for re-examination shall include
the favorable recommendation of the school director
who administered the course(s).
(3) A trainee shall have, within 90 days of the original
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APPROVED RULES
examination(s), only one opportunity for
re-examination and shall satisfactorily complete the
subsequent unit examination in its entirety.
(4) The trainee will be assigned in writing by the Director
of the Standards Division a place, time, and date for
re-examination.
(5) Should the trainee on re-examination not achieve the
prescribed minimum score on the examination, the
trainee may not be given successful course
completion and shall enroll and successfully complete
a subsequent offering of the Basic Law Enforcement
Training Course in its entirety.
(f) A trainee who fails to achieve a passing score of 70
percent on three or more of the units as prescribed in 1 2 NCAC
9B .0406(b) shall not be given the opportunity for re-
examination on those units: and shall enroll in and successfully
complete a subsequent offering of the Basic Law Enforcement
Training Course in its entirety.
Histoi-\- Note: Aiithorin G.S. J 7C-6: 17C-10.:
Eff. Juiuuin /. 1981:
Amended Eff. August L 2000: Juh I. 1989: Julx 1. 1985:
Jamtm-y 1. 1983.
.0414 COMPREHENSIVE WRITTEN EXAM --
SPECIALIZED INSTRUCTOR TRAINING
(a) At the conclusion of a school's offering of the
"Specialized Firearms Instructor Training" course. "Specialized
Driverlnstructor Training" course, "Specialized Subject Control
Arrest Techniques Instructor Training" course. "Specialized
Physical Fitness Instructor Training" course, the "Radar
Instructor Training Course," the "Criminal Justice TD/SMI
Instructor Training Course." the "Re-Certification Training for
Radar Instructors" course, and the "Re-Certification Training for
TD/SMI Instructors" course, in its entirety, the Commission
shall administer a comprehensive written examination to each
trainee who has satisfactorily completed all of the required
course work. A trainee cannot be administered the
comprehensive written examination until such time as all of the
pertinent course work is completed.
(b) The examination shall be an objective test consisting of
multiple-choice, true-false, or similar questions covering the
topic areas contained in the accredited course curriculum.
(c) The Commission's representative shall submit to the
school director within five days of the administration of the
examination a report of the results of the test for each trainee
examined.
(d) A trainee shall successfully complete the comprehensive
written examination if he/she achieves a minimum of 75 percent
correct answers.
(e) A trainee who fails to achieve the minimum score of 75
percent on the Commission's comprehensive written
examination shall not be given successful course completion and
shall enroll and successfully complete a subsequent offering of
the specialized instructor training course in its entirety before
further examination may be permitted.
c
HIsronNote: Authority G.S. 17C-6: 17C-I0:
Eff. Fehvuaiy 1. 1987:
Amended Eff. August !_, 2000: Julx 1. 1989.
CHAPTER 10 - SHERIFFS' EDUCATION AND
TRAINING STANDARDS CO.MMISSION
SUBCHAPTER 108 - N.C. SHERIFFS' EDUCATION
AND TRAINING STANDARDS CO.MMISSION
SECTION .1400 - PROFESSIONAL CERTIFICATE
PROGRAM FOR RESERVE DEPUTY SHERIFFS
.1402 GENERAL PROVISIONS
(a) In order to be eligible for one or more of the professional
certificates, a reserve deputy sheriff shall first meet the
following preliminary qualifications:
(1) Be an appointed reserve deputy sheriff who holds
valid General or Grandfather Certification. A reserve
deputy sheriff serving under a probationary
certification is not eligible for consideration.
(2) Be familiar with and subscribe to the Law
Enforcement Code of Ethics as promulgated by the
International Association of Chiefs of Police to
include any subsequent editions or modifications
thereto. A copy of the Code of Ethics may be
obtained at no cost from the Sheriffs' Standards
Division, North Carolina Department of Justice, Pos*
Office Box 629, Raleigh. North Carolina 27602-06291
(3) The applicant shall be a sworn law enforcement
officer of a North Carolina Sheriffs Office, as
certified in writing by the sheriff: or be a sworn law-
enforcement officer of an agency who must be
appointed by the sheriff in order to perform his duties
as certified in writing by the Sheriff.
(4) Only training or experience gained in an officer's area
of expertise will be eligible for application to this
program. All training must be completed during the
time of service as a sworn law enforcement officer,
with the exception of Basic Law Enforcement
Training.
(b) Certificates are awarded based upon a formula v\hich
combines law enforcement training and actual participation as a
reserve deputy sheriff in law enforcement functions. Points arc
computed in the following manner:
( 1 ) A minimum of ninety-six (96) hours achieved over a
one-year period of participation in law enforcement
functions, by having been called into reser\eduty by
the appointing sheriff, shall equal one year of reserve
service:
(2) Twenty hours of comnii^sion-appro\cd law
enforcement training shall equal one law enforcement
training point: ^
(3) Service as a reserve deput\ sheriff shall he acceptably
for consideration: or an officer who is otherwise
ineligible to receive an equivaleiii certificate through
407
NORTH CAROLINA REGISTER
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APPROVED RULES
i
the Professional Certificate Program for Sheriffs and
Deputy Sheriffs as set out in 12 NCAC lOB .1000
may receive a certitlcale under this program, in which
case one year of full-time service may he substituted
for one year of reserve service in computing
eligibility under this section.
History Note: Authority G.S. I7E:
Eff. August I, 2000.
History Note: Authorin G.S. I7E:.
Eff. August 1. 2000.
TITLE 15A - DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
CHAPTER 3 - MARINE FISHERIES
SUBCHAPTER 31 - GENERAL RULES
.1403 BASIC RESERVE DEPUTY SHERIFF
PROFESSIONAL CERTIFICATE
In addition to the qualifications set forth in Rule .1402, an
applicant for the Basic Reserve Deputy Sheriff Certificate shall:
( 1 ) have no less than one year of reserve service;
(2) and have either;
(A) successfully completed a
commission-accredited basic law enforcement
training course;
(B) any remedial training as required by the
Commission for general certification; or
(3) have completed a minimum of 160 hours of training
in the field of law enforcement.
History Note: Authority G.S. 17E:
Eff. August 1. 2000.
*
.1404 INTERMEDIATE RESERVE DEPUTY
SHERIFF CERTIFICATE
In addition to the qualifications set forth in Rule .1402,
applicants for the Intermediate Reserve Deputy Sheriff
Certificate shall possess or be eligible to possess the Basic
Reserve Deputy Sheriff Certificate and shall have acquired the
following of law enforcement training points and years of
service as a reserve law enforcement officer:
( 1 ) 8 years of reserve officer law enforcement experience;
and
(2) 35 points minimum reserve officer law enforcement
training.
Histoiy Note: Authority G.S. I7E:
Eff: August 1. 2000.
.1405 ADVANCED RESERVE DEPUTY SHERIFF
CERTIFICATE
In addition to the qualifications set forth in Rule .1402.
applicants for the Advanced Deputy Sheriff Certificate shall
possess or be eligible to possess the Intermediate Reserve
Deputy Sheriff Certificate and shall have acquired the following
law enforcement training points and years of service as a reserve
law enforcement officer:
( 1 ) 12 years of reserve officer law enforcement
experience; and
■ (2) 50 points minimum total of reserve officer law
enforcement training.
SECTION .0100 - GENERAL RULES
.0107 ENDANGERED OR THREATENED SPECIES
(a) Pursuant to a cooperative agicement entered into on
February 5, 1979, by the Department of Environment and
Natural Resources, the Marine Fisheries Commission, and the
Wildlife Resources Commission, the Wildlife Resources
Commission will exercise regulatory jurisdiction over any
species of sea turtle, and their eggs and nests, consistent with
designation of such species as endangered or threatened by the
U.S. Fish and Wildlife Service. As provided hy said agreement,
the law enforcement officers of both the Marine Fisheries
Division and the Wildlife Resources Commission have
jurisdiction to enforce any State laws and rules, including those
contained in 15A NCAC 101, relating to endangered or
threatened species of sea turtles and their eggs and nests.
(b) The Fisheries Director may close or restrict by
proclamation any coastal waters with respect to taking or
attempting to take any or all kinds of marine resources when the
method (equipment) used is a serious threat to an endangered or
threatened species listed pursuant to 16 USC 1533(c). Copies of
this list may be obtained from the Division of Marine Fisheries,
PC Box 769, 3441 Arendell St., Morehead City, North Carolina
28557-0769.
(c) It is unlawful to use any commercial fishing equipment in
the sea turtle sanctuary located in the Atlantic Ocean adjacent to
Onslow County as described in 1 5A NCAC 3R .0101 from June
1 through August 3 1 , except that the Fisheries Director may, by
proclamation, modify the sanctuary within the described area
and vary implementation between specified dates for the
protection of the sea turtle population.
HistonNote: Authority G.S. 113-132: lB-134: 113-134.1:
113-182: 113-189: 143B-289.52:
Eff. Jamuvy 1. 1991:
Recodified from I5A NCAC 31 .0007 Eff. December 17. 1996:
Amended Eff. Julx I, 1999: Max 1. 1997.
SUBCHAPTER 3Q - JURISDICTION OF AGENCIES:
CLASSIFICATION OF WATERS
SECTION .0100 - GENERAL REGULATIONS: .JOINT
.0106 APPLICABILITY OF RULES: JOINT WATERS
(a) All coastal fishing laws and regulations administered by
the Department of Environment and Natural Resources and the
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APPROVED RULES
Marine Fisheries Commission apply to joint waters except as
otherwise provided, and shall be enforced by fisheries
enforcement officers.
(b) The following inland fishing laws and regulations
administered by the Wildlife Resources Commission apply to
joint waters and shall be enforced by wildlife enforcement
officers:
(1) all laws and regulations pertaining to inland game
fishes,
(2) all laws and regulations pertaining to inland fishing
license requirements for hook and line fishing.
(3) all laws and regulations pertaining to hook and line
fishing except as hereinafter provided.
Histon-Note: Authoriry G.S. 113-132: 113-134:
143B-289.52:
Eff. Jamiury 1. 1991:
Amended Eff. Jiih 1. 1999.
CHAPTER 7 - COASTAL MANAGEMENT
SUBCHAPTER 7H - STATE GUIDELINES FOR
AREAS OF ENVIRONMENTAL CONCERN
SECTION .2400 - GENERAL PERMIT FOR
PLACEMENT OF RIPRAP FOR WETLAND
PROTECTION IN ESTLARINE AND PUBLIC
TRUST WATERS
.2404 GENERAL CONDITIONS
(a) This permit authorizes only the construction of wetland
protection structures conforming to the standards herein.
(b) Individuals shall allow authorized representatives of the
Department of Environment and Natural Resources (DENR) to
make periodic inspections at any time deemed necessary in order
to be sure that the activity being performed under authority of
this general permit is in accordance with the terms and
conditions prescribed herein.
(c) There shall be no unreasonable interference with
navigation or use of the waters hy the public by the existence of
the riprap structure authorized herein.
(d) This permit shall not be applicable to proposed
construction where the Department has determined, based on an
initial review of the application, that notice and review pursuant
to G.S. 1 1.3A-1 19 is neccesary because there are unresolved
questions concerning the proposed activity's impact on
adjoining properties or on water quality; air quality: coastal
wetlands; cultural or historic sites; wildlife; fisheries resources;
or public trust rights.
(e) This permit does not eliminate the need to obtain any
other required state, local, or federal authorization.
(f) Development carried out under this permit must be
consistent with all local requirements, AEC Guidelines, and
local land use plans current at the lime of authorization.
Histon-Note: Anthorirx G.S. 1I3A-I07: I13A-II8.I:
Eff. Aiifiust 1, 2000.
CHAPTER 10 - WILDLIFE RESOURCES AND g
WATER SAFETY %
SUBCHAPTER lOB - HUNTING AND TRAFPINC;
SECTION .0100 - GENERAL REGULATIONS
.0109 CHASING DEER BY DOGS IN CERTAIN
COUNTIES
It is unlawful to allow dogs to run or chase deer or to attempt
to take deer with dogs at any time in Alamance County south of
1-85; Orange County south of 1-85; Chatham County; Lee
County; Wake County south of NC 98; and in and west of
Rockingham, Guilford, Randolph and Montgomery Counties
and that part of Anson County west of NC 742.
Note: See 15A NCAC lOD .0103 which prohibits any hunting
with dogs on game lands during the season for hunting deer with
guns in and west of these counties.
History Note: Authority G.S. 1 13-134: 1 1 3-291.5:
Ejf. Febriiaiy 1. 1976:
Amended Eff. Jiih 1. 1999: Jiih 1. 1991 : Augu.st I. 1980: August
1. 1 978: August 1. 1977.
SECTION .0200 - HUNTING
.0204 WILD BOAR (BOTH SEXES) f
(a) Open Seasons: Monday on or nearest October 15 to the
Saturday before Thanksgiving, and the third Monday after
Than ksgi ving to January 1 , except on bear sanctuaries located on
the game lands, where the boar seasons are controlled by 15A
NCAC 10D.0103.
(b) Bag Limits: Daily, one; possession, one; season, two.
(c) Kill Reports. The carcass of each wild boar shall be
tagged and the kill reported as provided by 15A NCAC lOB
.on 3.
History Note: Authorit\G.S 113-134:113-270.3: 113-276.1:
113-291.2:
Ejf. February I. 1976:
Amended Eff. Jul\ 1. 1999: Julx I. 1995: Julx I. 1993: Julx I.
1987: Julx 1. 1986.
TITLE 21 - OCCUPATIONAL LICENSING BOARDS
CHAPTER 14 - BOARD OF COSMETIC ART
EXAMINERS
SUBCHAPTER 14A - DEPARTMENTAL RULES
SECTION .0100 - ORGANIZATIONAL RULES
.0101 DEFINITIONS
The following definitions apply in this Chapter:
I
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$
( 1 ) "Beauty Establishment" refers to both cosmetic art
schools and cosmetic art shops.
(2) "Cosmetology School" is any cosmetic art school
which teaches cosmetic art as defined by G.S. 88B-
2(5), but is not a manicurist school.
(3) "Manicurist School" is a cosmetic art school which
teaches only the cosmetic arts of manicuring.
(4) "Manicurist Student" is a student in any cosmetic art
school whose study is limited to the manicurist
curriculum set forth in 21 NCAC I4K .0102.
(5) "Successful Completion" is the completion of an
approved cosmetic art curriculum with a minimum
grade of "C" or 70%. whichever is deemed as passing
by the cosmetic arts of school.
(6) "Esthetician School" is any cosmetic art school which
teaches only the cosmetic arts of skin care.
(7) "Esthetician Student" is a student in any cosmetic art
school whose study is limited to the esthetician
curriculum set forth in 21 NCAC 140 .0102.
History Note: Aiitlv ;x G.S. 88B-2: 88B-f;
Eff. February I. I97t):
Amended Eff. June I. 1993: October I. 1991. May I. 1991:
Januaiy 1. 1989:
Temporarx Amendment Eff'. January 1. 1999;
Amended Eff. August 1, 2000.
.0103 OFFICE HOURS
■ The office hours for the board are 8:00 a.m. to 5:00 p.m.,
Monday through Friday. The office is closed on state holidays.
History Note: Authority G.S. 88B-4
Eff. February 1. 1976:
Amended Eff. January 1. 1989;
Amended Eff August 1. 20U0.
SUBCHAPTER 14C - CONTESTED CASES
SECTION .0200 - REQUEST FOR A HEARING
.0202 PREREQUISITES
Before a hearing request is made, a person may attempt to
resolve the problem with the Board informally by contacting the
Chairman of the North Carolina State Board of Cosmetic Art
Examiners, 1 20 1 - 1 1 Front St.. Raleigh, North Carolina 27609.
Hi.story Note: Authority G.S. 88B-4: l50B-JI8(/i};
Eff. February I. 1976:
Amended Eff. August 1. 20(10: July 1. 1993: Auiiiist I. 1988
SUBCHAPTER 14F - RULES AND REGULATIONS
GOVERNING THE LICENSING OF BEAUTY
SALONS
SECTION .0100 - LICENSING OF BEAUTY SALONS
.0101 APPLICATION FOR SALON LICENSE
Persons desiring to continue to operate or open a cosmetic art
shop, or to reopen a cosmetic art shop which has been closed
more than 90 days in the State of North Carolina shall make
application to the North Carolina State Board of Cosmetic Art
Examiners on an application form to be furnished by the Board.
History Note: Authority G.S 888-14:
Eff. February I. 1976:
Amended Eff. August L 2000; April 1. 1988.
.0105 NEWLY ESTABLISHED RESIDENTIAL
SALONS
(a) A cosmetic art shop shall be separate and apart from any
building or room used for any other business or purpose,
separated by a solid wall of at least seven feet in height and must
have a separate outside entrance.
(b) A newly established cosmetic art shop, shall be separate
and apart from any building or room used for living, dining or
sleeping and shall be separate and apart from any other room
used for any other purpose by a solid wall of ceiling height,
making separate and apart rooms used for a cosinetic art shop.
All entrances to the cosmetic art shop shall be through solid, full
length doors installed in solid walls of ceiling height.
History Note: Authority G.S. 88B-4;
Eff. Fehivan I. 1976;
Amended Eff. August L 2000; May 1. 1998.
SUBCHAPTER 14G - REQUIREMENTS FOR THE
ESTABLISHMENT OF COSMETIC ART SCHOOLS
SECTION .0100 - PERMANENT FILES
.0103 SPACE REQUIREMENTS
(a) The Cosmetic Art Board shall issue letters of approval
only to cosmetology schools that have at least 2800 square feet
of inside floor space for 20 stations or 4200 square feet of inside
floor space for .^0 stations located within the same building. An
additional 140 square feet of fioor space shall be required for
each station above 20 stations, up to and including a total of 30
stations. Thereafter, an additional 40 square feet shall be
required for each station in excess of 30 stations. For purpose
of this Rule, the day and night classes shall be counted as
separate enrollments. A school may have a recitation room
located in an adjacent building or another building within 500
feet of the main cosmetology building.
(b) Each cosmetology school must have no less than 20
hairdressing stations, arranged to accommodate not less than 20
students and arranged so thai the course of study and training
cosmetology, as prescribed 21 NCAC 14J .0306, may be given.
All stations must be numbered numerically.
(c) Cosmetology schools must have a beginner department
containing sufficient space to comfortably accommodate at least
ten students and having at least 40 inches between mannequins.
(d) The Board shall issue a letter of approval only to
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September I, 1999
410
^^SB^^BSS
APPROVED RULES
manicurist schools that ha\e at least 1.000 square feet of inside
floor space located within the same building.
(e) Manicurist schools with 1 ,000 square feet of inside floor
space shall enroll no more than 20 students at one time, and for
each student enrolled in addition to 20 students, 50 square feet
of inside floor space must be provided.
(0 Manicurist schools must have 10 manicurist tables and
chairs a minimum of two feet apart, side to side, arranged to
comfortably accommodate ten students.
(g) The Board shall issue a letter of approval only to
esthetician schools that have at least 1,500 square feet of inside
floor space located within the same building.
(h) Esthetician schools with 1,500 square feet of inside floor
space shall enroll no more than 20 students at one time, and for
each student enrolled in addition to 20 students, 50 square feet
of inside floor space must be provided.
Histon Note: Aiithorin G.S. 88B-4;
Eff. Fehruan- I. 1976:
Amended Eff. April I. 1995: January L 1992: May 1, 1991:
January I. I9H9. Max 1. 1988:
Teniporan- Amendment Jaiiiiory I. 1999:
Amended Eff. August L 2000.
SUBCHAPTER 141 - OPERATIONS OF SCHOOLS OF
COSMETIC ART
SECTION .0100 - RECORD KEEPING
.0109 SUMMARY OF COSMETIC ART
EDUCATION
(a) The manager of each cosmetic art school must compile,
from the school's records, a summary of hours, live
model/mannequin performance completions, date of enrollment,
and last date of attendance. Upon graduation or within 30 days
after the student's graduation date, the cosmetic art school must
present to the student his or her examination application.
(b) This examination application must be signed by the
owner/director, a teacher, and the student and must have the seal
of the school affixed.
(c) The examination application must be prepared on a form
furnished by the Board.
History Note: Authority G.S. 88B-4: 88B-16:
Eff. February I. 1976:
Atnended Eff. August L 2000: Augu.st f 1998: May L 1991:
January 1. 1989: April L 1988.
SUBCHAPTER 14K - MANICURIST CURRICULUM
SECTION .0100 - MANICURIST CURRICULUM
.0102 COURSE OF STUDY
(a) The .300 hours in classes required for licensure as a
manicurist must include at least 260 hours of "classroom work"
as described in Paragraph (c) and at least 40 hours of supervised
"live model performances" as set forth in 21 NCAC I4K
.()l07(a).
(b) The following amount of classroom work is required tA
the Board before taking the manicurist examination: %
(1) 30 hours in manicuring, including trimming, filing,
shaping, decorating, and ann and hand massage:
(2) 140 hours in sculptured and other artificial nails;
(3) 10 hours in pedicuring;
(4) 20 hours in theory and salesmanship as it relates to
manicuring;
(5 ) 30 hours in the procedures and methods of sanitation,
including the study of the Federal Environmental
Protection Agency's disinfectant guidelines and the
recommendations on the Material Safety Data Sheets
prepared by the manufactures on all products used by
the school's students in the live inodel performance
set forth in 21 NCAC 14K .0107(a);
(6) 30 hours in the study of bacteriology including
communicable diseases and the requirements of The
Pure Food and Drug Law for creams and lotions.
(c) Classroom work shall include lectures on the subject as
well as demonstrations, questions and answers on textbooks,
written examinations, and in-class practice of procedures and
methods but not live model performances as described by 21
NCAC 14K .0107(b).
Histoid Note: Authority G.S. 88B-I: S8B- If):
Eff. Fehruan f 1976: ^
Amended Eff. December I. 1990: Jamiary I. 1989: April ^
1988:
Temporaiy Amendment Eff. January 1. 1999:
Amended Eff. Augu.st 1. 2000.
.0107 LIVE MODEL PERFORMANCES
(a) In completing the 40 hours of li\'e model performances
required by 21 NCAC 14K .0102(b), all manicurist students
shall complete the following minimum number of live model
performancesduring the manicurist course under the supervision
of a licensed cosmetic art teacher before taking the manicurist
examination:
(1) 15 manicures, including trimming, filing, and
shaping; decorating; and arm and hand massage;
(2) 100 applications or repair of sculptured or other
artificial nails; and
(3) 4 pedicures.
(b) No manicurist student may perform any live model
performances until he or she has completed 16 hours of
classroom work, as defined in 21 NC.-\C 14K .0102(d).
including at least four hours of bacteriology and four hours ol
the procedures and methods of sanitation.
(c) Live model performances are the rendering of the rciiui red
service on a live person other than himself or herself They do
not include performing the service on a mannequin.
Histoty Note: Authority G.S. 8HB-4: S8B-I():
Eff. July 1. 1990:
I
411
NORTH CAROLINA REGISTER
September 1, 1999
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APPROVED RULES
Amended Ejf. April 1. 1991: December I. 1990:
Temporary Amendment Ejf. Jamiary I, 1999:
Amended Eff. Aimist 1, 2000.
$
I
SUBCHAPTER 14L - COSMETIC ART TEACHERS
SECTION .0200 - TEACHER PROGRAM AND
CURRICULUM
.0216 TEACHER TRAINING CURRICULUM
(a) To meet the apprcal of the Board, a cosmetologist
teacher training course must consist of at least 800 hours of
instruction in theory and practical application, divided as
follows:
( 1 ) One hundred fifty hours of instruction on methods of
teaching and the laws governing cosmetology, to
include the following topics:
(A) instruction in teaching techniques;
(B) instruction in preparing lesson plans;
(C) instruction in preparing class lectures and
presentations;
(D) instruction in preparing examinations; and
(E) G.S. 88B and the Rules of the Board.
(2) Six hundred fifty hours of practice teaching, to
include the following:
(A) conducting theory classes from prepared lesson
plans;
(B) preparing and giving examinations; and
(C) giving practical demonstrations,
(h) To meet the approval of the Board, a manicurist teacher
training course must consist of at least 320 hours of instruction
in theory and practical application, divided as follows:
( 1 ) One hundred and fifteen hours of instruction on
methods of teaching and the laws governing
manicuring, to include the following topics:
(A) instruction in teaching techniques;
(B) instruction in preparing lesson plans;
(C) instruction in preparing class lectures and
presentations;
(D) instruction in preparing examinations;
(E) instruction in chemical usage; and
(F) G.S. 88B and the rules of the Board.
(2) Two hundred and five hours of practice leaching, to
include the following;
( A ) conducting theory classes from prepared lesson
plans;
(B) preparing and giving examinations; and
(C) giving practical demonstrations.
(c) To meet the approval of the Board, a esthetician teacher
training course must consist of at least 650 hours of instruction
in theory and practical application, divided as follows;
( 1 ) One hundred and twenty hours of instruction on
methods of teaching and the laws governing skin care
to include the following topics:
(A) instruction in teaching techniques;
(B) instruction in preparing lesson plans;
>
(C) instruction in preparing class lectures and
presentations;
(D) instruction in preparing examinations;
(E) instruction in chemical usage; and
(F) G.S. 88B and the rules of the Board.
(2) Five hundred and thirty hours of practice teaching, to
include the following:
(A) conducting theory classes from prepared lesson
plans;
(B) preparing and giving examinations; and
(C) giving practical demonstration.
History Note: Authority G.S. 88B-4: 88B-11:
Ejf. April 1. 1991:
Amended Eff. March 2. 1992:
Temporary Amendment Ejf. January 1, 1999:
Amended Eff. August 1, 2000.
SUBCHAPTER 14N - EXAMINATIONS
SECTION .0100 - GENERAL PROVISIONS
.0101 TIME AND PLACE OF EXAMINATIONS
The Board shall announce the time and place for holding each
examination at least ten work days prior to the date thereof.
Histon- Note: Authority- G.S. 88B- 7( I): 88B-8( I ): 88B-18:
88B-20(a): 88-4:
Eff. June 1. 1992:
Amended Eff. Augu st 1. 2000
.0102 INITIAL APPLICATIONS AND FEES
(a) All applications for examination must he on a form
provided by the Board.
(b) If special arrangements are required, the initial application
or request for re-examination must include, an application for
special arrangements pursuant to 21 NCAC 14N .0107.
(c) The application must be tiled with the Board and
accompanied by the applicable examination fee. If the
application is not signed or is inadequately completed, or the
proper supporting documentation is not enclosed, or the
applicable fee is not paid, the application shall be deemed
incomplete and returned.
(d) If the examination fee is paid by check or money order,
the check or money order shall be made payable to the "Board
of Cosmetic Art Examiners".
(e) If possible, the Board shall schedule candidates whose
properly completed applications are received by the 10th of one
month to take the examination during the following month. The
Board shall assign the candidate to the location nearest to the
candidate that is available for that month.
Histon- Note: Authority G.S. 88B-1: 88B-7(1 ): 88B-8( 1 ):
88B-18: 88B-20(a):
Eff June 1. 1992:
Amended Eff. Au.i;ust 1. 2000
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September 1, 1999
412
m^
APPROVED RULES
.0103 GENERAL EXAMINATION INSTRUCTIONS
(a) All candidates scheduled for an examination shall bring;
(1)
(2)
(3)
(4)
(5)
their social security card,
a form of identification with a current picture.
a kit containing all supplies necessary to perform all
services required by the examination.
a No. 2 pencil, and
admission letter.
(b) Candidates for the cosmetologist examination shall bring
a mannequin that conforms with applicable requirements set
forth in 21 NCAC 14N .0105.
(c) Candidates for the cosmetologist, manicurist and
esthetician teacher examination shall bring whatever supplies are
suitable for presenting the theory lecture of their pre-assigned
lecture topic and demonstrating the pre-assigned practical
demonstration topic.
(d) Candidates for the esthetician and esthetician teachers
examination shall bring a live model.
(e) Candidates shall not be accepted after roll call.
(f) No candidate shall to bring books, electronic devices,
calculators, papers, or reference materials of any kind into the
testing room, except as provided in Paragraph (c) and (g) of this
Rule.
(g) Cosmetology teacher manicurist teacher and esthetician
teacher candidates may use visual aids, prepared in advance,
during the practical examination. During the lesson planning
part of the examination, only a text book brought by that
candidate may be used.
Histon Note: Authority G.S. 88B-4: 88B-7: 88B-9: 88B-10:
88B-n: 88B-I8:
Eff. June I. 1992:
Temponvy Amendment Eff. Janiiaiy 1. 1999:
Amended Eff. August 1. 2000.
.0104 LIVE MODEL REQUIREMENTS
(a) If. a cosmetology teacher candidate has chosen to bring a
live model for the examination; the model must;
( 1 ) be at least 18 years old;
(2) submit to all cosmetic art services required by the
examination: and
(.3) agree to a haircut of at least one to one and one-half
inches during the examination. Hair must be of
sufficient length to perform requirements after
cutting. Prior to the examination, the model's hair
must have already been shampooed, set and dried.
(b) A model brought by a candidate for the manicurist or
manicurist teacher examination, pursuant to 21 NCAC 14N
.0103(d) shall;
(1) be 18 years old.
(2) submit to all cosmetic art services required by
examination.
(c) A model brought by a candidate for the esthetician or
esthetician teachers examination pursuant to 21 NCAC 14N
.0103(e) shall;
(1) be 1 8 years old.
;j
(2) submit to all operations of esthetics.
(d) Cosmetic art school or shop owners, cosmetologists or
apprentice cosmetologists, manicurists, esthetician
cosmetology, manicurist, or esthetician teachers, cosmetic
shop operators, and present or former cosmetology or manicurist
students may not sit as models.
(e) No model may sit for more than one candidate at one
exam.
Histon Note: A uthorit}- G. S. 88B-4: 88B- 11:88B-1 8:
Eff. June 1, 1992:
Amended Eff. August 1. 1998:
Temporaiy Amendment Eff. Januaiy I. 1999;
Amended Eff. Auuu.ft L 2000.
.0105 MANNEQUIN REQUIREMENTS
If. pursuant to 21 NCAC 14N .0103(b) and (c). a candidate
has chosen to bring a mannequin for the examination, the
mannequin's hair shall be of sufficient length for the candidate
to perform at least a one to one and one-half inch haircut. Hair
shall be of sufficient length to perform rcquircinents after
cutting. The candidate shall bring a holder for the mannequin,
Histon- Note: Authority G. S. 88B-4: 88B- II:
Eff. June I. 1992:
Amended Eff. August L 2000: June I. 1993.
.0110 PASSING GR.\DES FOR EX.\MINATION a
Candidates shall make the following grades on both th"
practical and theory sections of the examination;
( 1 ) For licensure as a cosmetologist. 75 percent;
(2) For licensure as an apprentice cosmetologist, 70
percent;
(3) for licensure as a cosmetology teacher . 85 percent:
(4) For licensure as a manicurist teacher. 85 percent;
(5) For licensure as a manicurist. 75 percent;
(6) For licensure as a esthetician. 75 percent: and
(7) For licensure as a esthetician teacher. 85 percent.
88B-7(2): 88B-8(2);
88B-ll(c)(3): 88B-
HistoiyNote: Authority G.S. 88B-4
8SB-9{2): 88B-10(2): 88B-1 1(b)(3):
11(d)(3):
Eff. June 1. 1992:
Temporaiy Amendment Eff. Janucny 1. 1999:
Amended Eff. August L 2000.
.0112 REVIEW OF EXAMINATION
(a) A candidate who has failed the practical section of an
examination may upon written request receive a breakdown of
the practical examination grades. A candidate ma\ not recei\e
a breakdown of the theory section of an examination.
(b) A candidate who has passed both sections of an
examination at any level may not receive a breakdown of hi:
examination trades.
I
Histon- Note: Authority- G.S. 88B-4: 88B-8(2l: 88B-I0(2):
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NORTH CAROLINA REGISTER
September 1, 1999
14:5
APPROVED RULES
88B-I8: 93B-8;
Eff.Jiine I. 1992:
^mended Eff. Aiisust 1, 2000: Janiian- I. 1996.
SUBCHAPTER 140 - ESTHETICIAN CURRICULUM
SECTION .0100 - ESTHETICIAN CURRICULUM
.0102 COURSE OF STUDY
The following course outline is required by the Board before
taking the esthetician examination:
( 1 ) orientation.
(2) anatomy/physiology.
(3) hygiene/sterilization/tlrst aid,
(4) chemistry.
(5) client consultation,
(6) facial/body treatment (cleansing, massage, masks),
(7) hair removal.
(8) basic dermatology.
(9) machines, electricity, apparatus,
(10) aromatherapy.
(11) nutrition.
(12) business management.
(13) make-up/color theory
(14) professional ethics.
History Note: Authority G.S. 88B- 4:
Temporaiy Adoption Eff. January 1. 1999:
"Eff Aiisust 1. 2000.
.0103 EQUIPMENT AND INSTRUMENTS
(a) An Esthetician school shall be equipped with the following
minimum equipment:
(1) 3 facial treatment chairs, treatment tables, or
hydraulic treatment chairs,
(2) 3 esthetician's stools,
(3) I facial vaporizer,
(4) 1 galvanic current apparatus,
{5) 1 infra-red lamp,
(6) 1 woods lamp.
(7) 1 footed magnifying lamp or magnifying lamp that
attaches to the wall.
(8) 1 hair remo\'al wax system,
(9) 1 thermal wax system.
(10) 1 suction machine.
(11) 1 exfoliation (brushes).
(12) table for machines.
(13) lavatory with hot and cold running water in the
treatment area.
(b) All equipment shall be maintained in a sanitary, safe
operating order at all times.
(c) The minimum requirement for a school of cosmetology
desiring to include a department of esthetics in its training
kuogram shall be at least one of each item specified in Paragraph
(a).
(d) Each esthetician student shall be supplied with:
{ 1 ) cape.
(2)
spatulas.
(3)
astringents.
(4)
tweezers.
(5)
cotton pads.
(6)
make up supplies.
(7)
sponges.
(8)
all purpose cream
(9)
fumigant.
History Note: Auflmrity G.S. 88B-4:
Temporaiy Adoption Eff. Juiniary 1. 1999:
Eff. Aimist I. 2000.
.0106 LIVE MODEL PERFORMANCES
(a) All esthetician students shall complete the following
minimum number of live model pertbrmances during the
esthetics course under the supervision of a licensed
cosmetologist or esthetician teacher before taking the esthetician
examination:
(1) Facials:
i) 40 Manual (skin analysis, cleansing, scientific
manipulations, packs and masks).
(B) 20 Electrical (the use of electrical modalitus,
including dermal lights, and electrical
apparatus for facials and skin care);
50 Eyebrow arching and hair removal:
40 Make-up (skin analysis, complete and corrective
make-up).
minimum of 60 hours of technical and practical
instruction in application areas are required prior to conducting
performances on the public.
(2)
(3)
(b) A
Histoiy Note: Authority G.S. 88B-4:
Temporaiy Adoption Eff'. January 1, 1999:
Eff. Aumst 1. 2000.
SUBCHAPTER 14P - CIVIL PENALTY
SECTION .0100 - CIVIL PENALTY
.0101 SCHEDULE OF CIVIL PENALTIES
The rules in this Subchapter establish the schedule of civil
penalties required by G.S. 88B-2y(c). The amounts stated are the
presumptive amounts which may be modified in accordance
with G.S. 88B-29(b). Those violations that are P' offense
correctable are identified with the word "warning" appended to
it. If the offense is not corrected within the 30 day time allotted,
the presumptive civil penalty in parenthesis shall apply.
Histoiy Note: Authority G.S. 88B-4: 88B-29:
Temporaiy Adoption Eff. January 1,1999:
Eff. August I. 2000.
.0102 QUALIFICATIONS FOR LICENSING
TEACHERS
The presumptive ci\il penalty for submitting false or
14:5
NORTH CAROLINA REGISTER
September L 1999
414
APPROVED RULES
fraudulcnl documentaticin on the application tor licensure as a
teacher is:
(1) 1^' offense $1,000.00
(2) subsequent offense revocation of license and
$1.0()().()() penalty
History Note: Authority G.S. 88B-4: 88B-24: 88B-29;
Temporary Adoption Eff. Jaiiuaiy 1, 1999:
Eft: Auaiist I, 2000.
.0103 TEMPORARY EMPLOYMENT PERMIT
The presumptive civil penalty for practicing cosmetology,
manicuring, or esthetics with an expired temporary employment
permit is:
(1) l"' offense warning ($100.00)
(2) 2"" offense $2.S0.00
(3) 3" offense $500.00
Histoi-\- Note: Authority G.S. 88B-4: 88B-12: 88B-29:
Teinporan Adoption Eff. Januaiy 1, 1999;
Eff. August I. 2000.
.0104 LICENSING OF COSMETIC ART SHOPS
(a) The presumptive civil penalty for operating a cosmetic art
shop without first fding an application for a cosmetic art shop
license;
(1) 1"' offense $100.00
(2) 2" offense $200.00
(,3) ,r\iffense $.300.00
(b) The presumptive civil penalty for moving or changing
location of an existing cosmetic art shop without first submitting
the appropriate form and fee to the Board is:
(1) 1^' offense $100.00
(2) 2"Viffense $200.00
(3) 3'' offense $300.00
Teniporaiy Adoption Eff. January I. l^W:
Eff. .4/>.t^H.s7 /, 20U().
.01 10 LICENSING OF BEAUTY SALONS
(a) The presumptive civil penalty for use of a cosmetic art
shop as living, dining, or sleeping quarters is:
(1) r' offense warning ($30.00).
«
(2)
(3)
Tnd
offense
3'" offense
$100.00.
$200.00.
(b) The presumptive civil penalty for failure to provide a
separate entrance into the cosmetic art shop is:
(1) r' offense warning (SI OO.OO).
(2) 2"' offense $200.00.
(3) 3^'' offense $400.00.
(c) The presumptive civil penally for re-opening a cosmetic art
shop which has been closed for more than 90 days without
making application to the Board for a new license:
r' offense $100.00
2"' offense $200.00
3'' offense
$300.00
Hi.stoiy Note: Authority G.S. 88B-4: 88B-f4: 8SB-29:
Teniporaiy Adoption Eff. Januaiy I, 1999:
Eff. Ausust 1. 2000.
.0115 SANITARY RATINGS
The presumptive civil penalty for a school failure to display
an inspection grade card is:
( 1 ) r' offense warning (S?0.0O)
(2) 2"' offense $100.00
%
(3) 3'''oflense
$200.00
Histon- Note: Autlwrit\- G.S. 88B-4: 88B-29:
Teniporaiy Adoption Eff. Janiian' f. f999:
Eff. AuRust /. 2000.
History Note: Authority G.S. 88B-4:
I
475
NORTH CAROLINA REGISTER
September 1, 1999
14:5
RULES REVIEW COMMISSION
1 his Section contains the agenda for the next meeting of the Rules Review Commission on Thursday. September 16. 1999.
10:00 a.m. . at 1 307 Glenwood Ave., Assembly Room, Raleigh, NC. Anyone wishing to submit written comment on any rule
before the Commission should submit those comments to the RRC staff, the agency, and the individual Commissioners by
Monday. September L\ 1999, at 5:00 p.m. Specific instructions and addresses may be obtained from the Rules Review
Commission at 919-733-2721. Anyone wishing to address the Commission should notify the RRC staff and the agency at
least 24 hours prior to the meeting.
RULES REVIEW COMMISSION MEMBERS
Appointed by Senate
Teresa L. Smallwood, Vice Chairman
John Arrowood
Laura Devan
Jim Funderburke
David Twiddy
Appointed by House
Paul Powell. Chairman
Anita White, 2"'' Vice Chairman
Mark Garside
Steve Rader
George Robinson
RULES REVIEW COMMISSION MEETING DATES
September 16. 1999
October 21, 1999
November 1 8. 1 999
December 16. 1999
LOG OF FILINGS
RULES SUBMITTED: JULY 20, 1999 THROUGH AUGUST 20, 1999
AGENCY/DIVISION
RULE NAME
RULE
DEPARTMENT OF INSURANCE
Suitability
DEPARTMENT OF LABOR
NCAC
102.S
Scope
Definitions
Training and Education
Resp./Symptons Indicating/Dev./MSD
Medical Management
Actual Compliance or Safe Harbor
DENR/SEDIMENTATION CONTROL COMMISSION
Procedures: Notices
EDUCATION, STATE BOARD OF
Graduation Requirements
Grade Level Proficiency
Definitions
Student Accountability Standards
State Graduation Requirements
I Review Procedures
Local Accountability Procedures
Students with Disabilities
Students/Limited English Proficiency
STATE BOARDS/NC BOARD OF REGISTRATION FOR FORESTERS
13 NCAC 7F .0601
1 3 NCAC 7F .0602
1 3 NCAC 7F .0603
1 3 NCAC 7F .0604
1 3 NCAC 7F .0605
1 3 NCAC 7F .0606
15 NCAC 4C .0107
ACTION
Amend
Adopt
Adopt
Adopt
Adopt
Adopt
Adopt
Amend
1 6 NCAC 6D
.0103
Repeal
16 NCAC 6D
.0304
Repeal
1 6 NCAC 6D
.0501
Adopt
16 NCAC 6D
.0502
Adopt
1 6 NCAC 6D
.0503
Adopt
16 NCAC 6D
.0504
Adopt
16 NCAC 6D
.0505
.4dopt
16 NCAC 6D
.0506
Adopt
16 NCAC 6D
.0507
Adopt
14:5
NORTH CAROLINA REGISTER
September 1, 1999
416
RVLES REVIEW COMMISSION
Purpose of Program
Qualifications for Registration
Examinations
References
Registration Fees
Reciprocity
Certification of Consulting Foresters
Handling of Complaints
Continuing Education
NC HOUSING FINANCE AGENCY
Persons and Families of Moderate Income
21 NCAC20.0101
Amend
21 NCAC2O.01O3
Amend
21 NCAC20.0104
Amend
21 NCAC20.01O5
Amend
21 NCAC20.0106
Amend
21NCAC20.0117
Amend
21 NCAC20.0120
Amend
21 NCAC20.0122
Amend
21 NCAC20.0123
Adopt
24NCAC 1H.0103
Amend
<
RULES REVIEW COMMISSION
August 19. 1999
MINUTES
The Rules Review Commission met on August 19, 1999. in the Assembly Room of the Methodist Building. 1307Glenwood Avenue.
Raleigh. North Carolina. Commissioners in attendance were Chairman Paul Powell, Teresa Smallwood, Jennie J. Hayman. Walter
Futch. Jim Funderburk. John Arrowood. Laura Devan. R. Palmer Sugg, David R. Twiddy. and George Robinson.
Staff members present were: Joseph J. DeLuca. Staff Director; Bobby Bryan. Rules Review Specialist: and Sandy Webster.
The following people attended:
Harry Wilson
Dedra Alston
Dee Williams
Emily Lee
Mell Nevils
Laura Crumpler
Jennie Wilhelm Mau
Sherri Knight
Arthur Mewberry
Jessica Gill
David A. Hance
Greg Bright
Linda Suggs
Charles Johnson
Mary Johnson
Mary Thompson
APPROVAL OF MINUTES
State Board of Education
DENR
State Board of Cosmetic Art Examiners
TRANSPORTATION/Division of Motor Vehicles
DENRyOLR/LQS
Attorney General
Attorney General
DENR/GW
DENR/DWQ/Groundwater
DENR/Coastal Resources Commission ■
DENRyDWQ/Groundwater
DENRAVell Contractors
NCASA
Commerce/Finance
Commerce/Finance
DENR/Coastal Resources Commission
«
The meeting was called to order at 10:01 a.m. with Chairman Powell presiding. He asked for any discussion, comments, or
corrections concerning the minutes of the July 15, 1999 meeting. There being none, the minutes were approved.
SWEARING IN OF NEW COMMISSIONERS
Staff Attorney Robert A. Bryan. Jr. swore in new Commissioners Jennie J. Hayman and Walter Futch.
FOLLOW-UP MATTERS
2 NCAC 20B .0104: AGRICULTURE/Board of Agriculture - The rewritten rule submitted by the agency was approved by the
Commission.
(
417
NORTH CAROLINA REGISTER
September 1, 1999
14:5
RULES REVIEW COMMISSION
2 NCAC 43L .0309: AGRICULTURE/Board of Agriculture - The rewritten rule submitted by the agency was approved by the
Commission.
ftm NCAC 54 .0103 and .0105: AGRICULTURE/Agriculture and Consumer Services - These rules were returned to the agency.
12 NCAC 9A .0103: JUSTICE/Criminal Justice Education & Training Standards Commission - This Commission will meet on
August 27, 1999 and the agency will respond after their Commission meets.
12 NCAC 9B .0107, .0113, .0201 . .0202, .0203, .0204, .0205. .0206, .0226, .0227, .0228, .0232, .0233 and .0305: JUSTICE/Criminal
Justice Education & Training Standards Commission - The Commission will meet on August 27, 1999 and the agency will respond
after Iheir Commission meets.
1 2 NCAC 9C .02 1 1 , .02 1 2. and .02 1 3: JUSTICE/Criminal Justice Education & Training Standards Commission - This Commission
will meet on August 27, 1999 and the agency will respond after the Commission meets.
12 NCAC lOB .0103: JUSTICE/Sheriffs" Education & Training Standards - This Commission will meet on September 16, 1999
and the agency will respond after the Commission meets.
I5ANCAC 7H .0309, .1805, and .2105: DENR/Coastal Resources Commission -The Commission approved the rewritten rules for
.0309 and .2105 submitted by the agency. They continued the objection to .1805 due to lack of statutory authority. In (f), the added
provision allowing the division to approve work from May 1 through November 15 is a waiver provision without specific guidelines
in violation of G.S. 150B-19(6).
16 NCAC 6C .0501: STATE BOARD OF EDUCATION - The rewritten rule submitted by the agency was approved by the
Commission. A motion to rescind the action taken last month to return 16 NCAC 6C .0304 to the agency for failure to comply with
the rulemaking provisions of the APA failed on a voice vote.
19A NCAC 31 .0.307, .0402, and .0804: TRANSPORTATION/Di vision of Motor Vehicles - The rewritten rules subinitted by the
ipgency were approved by the Commission.
21 NCAC 141 .0104 and .0107: State Board ofCosmetic Art Examiners -The rewritten rules submitted by the agency were approved
by the Commission because they had obtained the necessary authority.
21 NCAC 14J .0208 and .0501 -StateBoardofCosmetic Art Examiners -The rewritten rules submitted by the agency were approved
by the Commission.
21 NCAC 14L .0101 - State Board ofCosmetic Art Examiners - The rewritten rule submitted by the agency was approved by the
Commission.
21 NCAC 14N .01 13 - State Board ofCosmetic Art Examiners - The rewritten rule submitted by the agency was approved by the
Commission.
21 NCAC 140 .0101 and .0104 - State Board of Cosmetic Art Examiners - The rewritten rules submitted by the agency were
approved by the Commission.
21 NCAC 14P.0105,. 01 11.. 01 12, .01 13, .01 14, and .01 16 -State Board of Cosmetic Art Examiners -The rewritten rules submitted
by the agency were approved by the Commission.
LOG OF FILINGS
Chairman Powell presided over the review of the log and all rules were unanimously approved with the following exceptions:
4 NCAC 1 1 Rules - COMMERCE/Commerce Finance Center - These rules were returned to the agency for failure to comply with
the notice provisions of the Administrative Procedures Act. The Notice of Text provides that the comment period would be open
Ijhrough May 17, 1999. The Submission Form indicates this rule was adopted by the agency on May 6, 1999, prior to the close of
"he comment period. In addition the notice stales that the rules do not have a substantial economic impact of $5,000,000 in a 1 2 month
period, but the fiscal note does show a total economic impact of $10,420,000 in fiscal year 1999-2000. This requires a 60 day
comment period, rather than the 30 day period provided for in the notice. (G.S. 150B-2I .2(f)). Therefore the agency needs to
/•/.•5 NORTH CAROLINA REGISTER September I, 1999 418
RULES REVIEW COMMISSION
republish all these rules with the proper ceimment period, observe the eomment period, and then adopt the rules.
15A NCAC 27 .01 10 (subsequently renumbered as .0101)- DENRAVell Contractors Certification Commission- The Commissioi^
objected to this rule due to lack of statutory authority. In (i ) there are no standards specified for approving organizational or individual
sponsors of continuing education courses. Paragraphs (j) and (k) either redefine or repeat the contents of statutor) definitions atG.S.
87-98.2.
15A NCAC 27 .0201 - DENRAVell Contractors Certification Commission - The Commission objected to this rule due lo lack of
statutory authority. There is no authority cited for not charging well contractors who work for municipal governments the exam or
licensing fee. There is no indication given that it was the intent of the general assembly to make that exemption.
1 5 A NCAC 27 .0301 - DENRAVell Contractors Certification Commission - The Commission objected to this rule due to ambiguity.
In (e)(2) it is unclear what constitutes a "business related to well contractor activities." It is also unclear what constitutes
"satisfactory. . .equivalent experience." In (e )( 1) - (3) various tests to establish satisfactory experience are set out. Item (4 ) states that
insteadof (D- (3) a person may submit evidence of equivalent experience. It seems that a person may show other ways of proving
experience but it is unclear what the equivalence is. After all what is the equivalent experience to completing 25 wells in 24 months
or "working in a well contractor activity for 24 months" that is not working in this activity? It is possible that the board may accept
a combination of experience and education or education alone as an equivalent to the work experience, but thai is not what the rule
says or implies.
15A NCAC 27 .0410 - DENRAVell Contractors Certification Commission - The Commission objected to this rule due to lack of
statutory authority. In (a) the Commission may allow an exam to be administered orally, rather than in writing for "exceptional"
circumstances. This is a waiver provision. The Commission may not grant such a waiver without specific guidelines the agency shall
follow in granting or denying the waiver.
15A NCAC 27 .0420 - DENRAVell Contractors Certification Commission - The Commission objected to this rule due to ambiguity.
In (2)(a) it is unclear what constitutes "a sufficient number of applicants" to justify scheduling an examination. In i2)(b) it is unclear
what constitutes "exceptional circumstances" or the standards the Commission shall use in deciding whclher to grant ov deny the
application. A
15A NCAC 27 .0430 - DENRAVell Contractors Certification Commission - The Commission objected to this rule due to lack of
statutory authority. Rules relating to internal agency procedures are not to be adopted as rules. G.S. 143B-10(j)(3).
15A NCAC 27 .0701 - DENRAVell Contractors Certification Commission - The Commission objected to this rule due to lack of
statutory authority and necessity. This rule simply repeats the provisions of G.S. 87-98.5. is unnecessarv. and violates G.S. 15()B-
19(4).
1 5 A NCAC 27 .08 10 - DENRAVell Contractors Certification Commission - The Commission objected to this rule due to ambiguity.
In ( 1 )- (4) of this rule, especially when taken with .0820, it is unclear what constitutes "course completion." "course credit." and what
PDH credit the licensee will earn.
1 5A NCAC 27 .0820 - DENRAVell Contractors Certification Commission - The Commission objected to this rule due to ambiguity.
In ( 1 )-(4)of this rule, especially when taken with .0810, it is unclear what constitutes "course completion." "course credit." and what
PDH credit the licensee will earn. In (5) it is unclear how the agency will determine that a course or activity contains "a clear purpose
and objective and resultjs] in the maintenance, improvement, or expansion of skills..." "without scrutiny of individual course content."
15A NCAC 27 .0840 - DENR/Well Contractors Certification Commission - The Commission objected to this rule due to lack of
statutory authority and ambiguity. There is no authority cited to grant an exemption from the statutory continuing education
requirement. While an agency has the authority to grant exemptions to its own rules, it has no authority to exempt persons from the
statutory requirements, at least not unless such authority is specifically granted by the legislature. E\'en if there is authority' for this
rule, it is unclear what constitutes "physical disability, illness, or other extenuating circumstances..." in (3). The logical question that
needs to be answered is what sort of disability, illness, or circumstances would render a person capable ol perfomiing satisfactorily
as a well contractor but not able to obtain or needful of obtaining continuing education hours. It is also uncicai what standards the
board shall use in determinini: whether to grant the exemption.
I
21 NCAC 12 .0504 - NC Licensing Board tor General Contractors - This rule was withdrawn by the agencx.
419 NORTH CAROLINA REGISTER September /, 7999 14:5
RULES REVIEW COMMISSION
COMMISSION PROCEDURES AND OTHER MATTERS
J Mr. DeLuca announced that election of officers would take place next month. The Commission voted to go into Executive Session
|o consider the lawsuit and hear from its attorneys. The Commission reconvened after Executive Session and voted to adjourn at
12:25 p.m.
The next meeting will be on September 16, 1999.
Respectfully submitted.
Sandy Webster
i
14:5 NORTH CAROLINA REGISTER September I, 1999 420
CONTESTED CASE DECISIONS
1 his Section contains the full text of some of the more significant Administrative Law Judge decisions cdoiif; with an index
to all recent contested cases decisions which are filed under North Carolina i Administrative Procedure Act. Copies of the
decisions listed in the index and not published are available upon request for a minimal charge by contacting the Office of
Administrative Hearings. (919) 733-2698. Also, the Contested Case Decisions are available on the Internet at the followuig
address: http://www.state.nc.us/OAH/hearings/decision/caseiiidex.htm.
I
OFFICE OF ADMINISTRATIVE HEARINGS
Chief Administrative Law Judge
JULIAN MANN, III
Senior Administrative Law Judge
FRED G. MORRISON JR.
ADMINISTRA TIVE LA W JUDGES
Sammie Chess Jr.
Beecher R. Gray
Melissa Owens
Meg .Scott Phipps
Robert Roosevelt Reilly Jr.
Beryl E. Wade
AGENCY
ADMINISTRATION
Bnlthaven. inc. v. Department of Adnunislralion
and
Pnva-Trends. Inc.
Laidlaw Transit Svcs. Inc. v. Kane G Dorset:. Sec'y/Dept/Adniinisiration
OFFICE OF ADMINISTRATIVE HEARINGS
Ted Murrell. Zam. Inc. v. Office of Administrative Hearings
Samuel Lee Ferguson v. Office of Administrative Heanngs
AGRICULTURE
Archie McL.ean v Department of Agnculture
ALCOHOLIC BEVERAGE CONTROL COMMISSION
Alcoholic Beverage Control Commission v. Keyland. Inc.. T/A Cloud 9
Alcoholic Beverage Control Commissionv, Food Lion. Inc.. Store#1.^5l
Alcoholic Beverage Control Commission v. Beech Mountain Resort, Inc.
Alcoholic Beverage Control Commission v. Jaeson Nyuns Kim
Delores Ann Holley v. Alcoholic Beverage Control Commission
CRIME CONTROL AND PUBLIC SAFETY
Paul Richard Mull v. Crime Victims Compensation Commission
Bohby Mills v. Crime Victims Compensation Commission
William Samuel McCraw v. Crime Vicnms Compensation Commission
Anson D. Looney v. Cnme Victims Compensation Commission
Elvin Williams, Jr. v. Cnme Victims Compensation Commission
Michael Anthony Powell v. Crime Victims Compensation Commission
Mary Elizabeth Peoples Hogan v. Cnme Victims Compensation Comm.
Annabell B. McCormick v. Cnme Victims Compensation Commission
ENVIRONMENT AND NATURAL RESOURCES
R.J. Reynolds Tobacco Co. v. Dept. of Environment & Natural Resources
Willie Setzer v. Department of Environment & Natural Resources
Charles H. Jordan v. Brunswick County Health Department
Roadway Express v Department of Environment and Natural Resources
CASE
NUMBER
AL,J
98DOA081I
Chess
99DOA0102
Morrison
99 OAH 0()65
Chess
99OAH0718
Chess
98 DAG 1770
Reilly
98 ABC 1099
Overby
98 ABC 1270
Grav
99 ABC 0287
Reilly
99 ABC 0407
Momson
99 ABC 0876
Gray
98 CPS 0.^42
Chess
98CPS 1412
Wade
98 CPS 1626
Morrison
99 CPS 0096
Morrison
99 CPS 01 18
Owens
99 CPS 0426
Reilly
99 CPS 0.S04
Reilly
99 CPS 0564
Phipps
98EHR l,SI5
Wade
99EHR0I66
Chess
99EHR020I
Momson
99 EH R 0745
Momson
DATE OF
DECISION
06/10/99
06/11/99
07/14/99
07/16/99
07/12/99
01/17/99
O.Wl/99
08/1 1/99
07/09/99
08/10/99
07/26/99
08/06/99
06/09/99
0.5/25/99
O8/0.V99
O8/0.V99
07/29/99
08/04/99
06/04/99
06/28/99
06/28/99
07/27/99
PUBLISHED DECISION
REGISTER CI I VTION
<
14:02 NCR 115
14:04 NCR .^49
14:04 NCR .147
1402 NCR no
«
■421
NORTH CAROLINA REGISTER
September 1, 1999
14:5
CONTESTED CASE DECISIONS
AGENCY
L Division of Air Quality
flenance W, Bache, Pres.. Terhane Group. Inc. v. DENR. Di\/Air Qualily
,\V11I Airhome Corps & Fort Bragg, Dept, of the Army. USA \ .
En\ironment and Natural Resources. Div. of Air Quality
J D Owen v. Environment and Natural Resources. Div of Air Oualrty
Environmental Management
Allen Raynor \', hn\'ironmenlal Management Commission
Division of Land Resources
Buel B. Barker, .Ir and Huhbard Realty of Winston-Salem. a NC Corp..
jointly and severally \ Dept, of Environment and Natural Resources,
Div. of Land Resources
CASE
DATE OF
NUMBER
AL.I
DECISION
98EHR 1790
Mann
06/2.1/99
99 EH R 028.^
Wade
08/11/99
99EHR0642
Mann
08/10/99
99EHR0I27
Gray
07/nm
98EHR \AS1
Momson
06/09/99
PUBLISHED DECISION
REGISTER CITATION
Division of Water Quality
York Oil Company v. DENR. Division of Water Quality
J Todd Yates and Teresa B, Yates v. DENR. Div. of Water Quality
BOARD OF GEOLOGISTS
Aiidrevs M Raring. Ph.D \, Board for the Licensing of Geologists
HEALTH AND HUMAN SERVICES
Ernest Ch ' Ahsher and Dianna B. Absher v. Health & Human Resources
Andrew ^ainey v. Office of the Chief Medical Examinei
J. P. Lynch v. Department of Health & Human Services
New Hope Living Centers. Enc D. Lewis v. Health & Human Services
Frank McKoy v. Department of Health & Human Services
loan Mane McDaniel v. Department of Health & Human Services
Lonnie Herring v. Department of Health & Human Ser\'ices
Robert H Riley \. Office of the Governor. OtTice of Citizen Services
Division of Child Development
k Shaw Speaks Child Dev. Ctr. v. Health & Human Svcs.. Child Dev.
fLachelle L. Parsons v. Health & Human Svcs. Div. of Child Dev .
In The Beginning. Inc. v. Health & Human Svcs.. Div. of Ciild Dev
Dulaiown Outreach Center. Inc. v Health & Human Svcs.. Child Dev
Michele Denoff \ Health & Human Services. Di\ . of Child Dev,
Division of Facility Services
Kelly M. Poole \'. Health & Human Services. Div. of Facility Services
Nomia Faye Lewis v. Health & Human Svcs.. Div. of Facility Services
Delia C. Jones v. Health cS: Human Services. Div, of Facility Services
Effie Ruth Smith v. Health & Human Svcs,, Div, of Facility Services
Dons Laviner Moser v. Health & Human Services. Div. of Facility Svcs.
Norma Faye Lewis v. Health & Human Svcs.. Div. of Facility Services
Carolyn Grant V. Health & Human Services. Div. of Facility Services
Manon Moser Thompson \ . Health & Human Svcs.. Facility Services
Rose Mane Hadley v. Health A; Human Svcs.. Div. of Facility Services
Sarah Frances Alford v. Health & Human Svcs.. Div. of Facility Svcs.
\lvin L. Phynon Jr \ Health i; Human Svcs.. Dept of Facility
Barbara Rhue\. DF.S.
Barbara Rhue v. DF.S
Esther Nieves \. Health & Human Services. Div. of Facility Services
Division of .Medical Assistance
Companion Health Care. Inc. v, Div, of Medical Assistance. DHR
Division of Menial Health, Developmental Disabilities and Substance Abuse Services
S.S. by her parents and next friends. D.S. & A.S. v. DMH/DD'SAS
Division of Social Senices
Koben H Riley \ Iredell County DSS
Robert H, Riley v. Health & Human Svcs.. Div. of Social Services
loanna Pnce v. Caldwell County Social Services
k\ eronica Owens \ Dept of Social Services Union Countv
97EHR 1026
Phipps
07/26/99
98 EHR 1456
Wade
06/22/99
99BOG0L50
Mann
06/16/99
98 DHR 1622
Reilly
06/17/99
98 DHR 1761
Owens
05/12/99
99 DHR 01 11
Reilly
0.5/25/99
99 DHR 0170
Owens
05/25/99
99 DHR 0226
Wade
07/06/99
99 DHR 0.10.5
Reilly
08/05/99
99DHR0.\50
Reilly
06/0.V99
99DHR0.V56
Wade
07/21/99
99 DHR 0042
Gray
07/22/99
99DHR044.S
Reilly
07/19/99
99DHR0.'i75
Mann
07/19/99
99 DHR 0688
Owens
07/21/99
99DHR069.S
Owens
08/05/99
97 DHR 0629
Chess
06/14/99
98 DHR 1274 ■'
Phipps
07/02/99
98 DHR 1680
Gray
06/09/99
98 DHR 1774
Chess
07/14/99
99 DHR 0074
Wade
08/06/99
99 DHR 0144*'
Phipps
07/02/99
99 DHR 0145
Mann
06/11/99
99 DHR 02 16
Gray
08/1.W9
99 DHR 02 18
Wade
08/06/99
99 DHR 0220
Phipps
06/08/99
99DHR02.W
Mann
07/07/99
99 DHR 0401*'
Wade
07/.S0/99
99 DHR 04 14*'
Wade
07/.10/99
99 DHR 0766
Phipps
07/21/99
99 DHR 0762
Owens
07/29/99
Services
99 DHR 05.^8
Gray
08/02/99
99 DHR 0.154
Wade
07/21/99
99 DHR 0.155
Wade
07/21/99
99 DHR 0520
Momson
06/10/99
99 MIS 0677
Mann
08/ 1 7/99
14:04 NCR M?
14 01 NCR 69
Consolidated Cases.
14:5
NORTH CAROLINA REGISTER
September /, 1999
422
mm
CONTESTED CASE DECISIONS
AGENCY
ChilJ Support Enfhrcemenl Seclion
Lindy Teachout v. Department of Health & Human SeiA-ices
Thomas Ashley Stewan II v. Department of Health & Human Sei^ices
Richard Arnold Colhns v- Jones County DSS
Kenneth Wayne Adair v. Department of Human Resources
Hun G, Stokes v. Department of Health & Human Services
G-S. Hall V. Depanment of Health & Human Services
Kenneth A- McCrone v. Department of Human Resources
Donald Edward Law II v. Department of Human Resources
Robert M. Chandler Jr. v. Department of Health & Human Services
Grady L. Chosewood v. Depanment of Health & Human Services
Fulton Allen Tillman v. Department of Health & Human Services
Nathaniel Alston v. Department of Health & Human Services
Bret Burtrum v. Department of Health & Human Services
Cedric A. Hurst v. Department of Human Resources
Dane Wesley Ware v. Department of Health & Human Services
Oscar William Willoughby Sr. v, Dept, of Health & Human Services
Kelvin E. Townsend v. Department of Health & Human Services
Billy J. Young v. Depanment of Health & Human Services
Adelheide J. Cooper v. Depanment of Health & Human Services
Beverly K. Thompson v. Department of Health & Human Services
Michael L, Timmer V, Department of Health & Human SeA'ices
Elizabeth F. West v. Department of Health & Human Services
Troy Gibson v. Department of Health & Human Services
Roy D. Washington v. Department of Health & Human Services
Calvin D. Alston v. Depanment of Health & Human Services
Marquel Simmons v, Depanment of Health & Human Services
Gerald Scott Saucier v. Department of Health & Human Services
Lawrence Gordon Soles v. Department of Health & Human Services
Mohamed Moustafa v. Department of Health & Human Services
Charlie James White v. Department of Health & Human Services
Lane Bolton v. Department of Health & Human Services
Earl C. Jones. Sr. v. Department of Health & Human Services
Kathryn P, Fagan \, Department of Health & Human Services
Deborah Seegars v. Department of Health & Human Services
Lillian Anne Danoch v. Department of Health & Human Services
CASE
DATE OF
PUBLISHED DECISION
NUMBER
ALJ
DECISION
REGISTER (TfATION
98 CRA 0727
Reilly
06/24/99
99CRA0628
Reilly
06/14/99
96CSE18I0
Reilly
06/28/99
98CSE02:9
Momson
06/30/99
98 CSE 0898
Gray
07/23/99
98CSE 1392
Reilly
06/24/99
98 CSE 1415
Gray
08/04/99
98 CSE 1586
Momson
06/25/99
98 CSE 1789
Phipps
05/27/99
99 CSE 0301
Mann
07/01/99
99 CSE 03 11
Reilly
06/30/99
99 CSE 0317
Mann
07/01/99
99 CSE 03 18
Wade
07/14/99
99 CSE 0330
Chess
08/10/99
99 CSE 0359
Gray
06/28/99
99 CSE 0371
Momson
06/28/99
99 CSE 0373
Phipps
07/12/99
99 CSE 0374
Reilly
06/14/99
99 CSE 0428
Phipps
07/19/99
99 CSE 0435
Reilly
06/14/99
99 CSE 0437
Wade
06/08/99
99 CSE 045 1
Momson
05/25/99
99 CSE 0462
Owens
07/19/99
99 CSE 0481
Reilly
06/25/99
99 CSE 0539
Owens
08/10/99
99 CSE 0547
Wade
08/06/99
99 CSE 0576
Mann
06/09/99
99 CSE 0581
Momson
06/09/99
99 CSE 0582
Owens
08/05/99
99 CSE 0690
Momson
07/20/99
99 CSE 0735
Phipps
08/06/99
99 CSE 0801
Gray
08/10/99
98 DCS 1769
Momson
06/25/99
99 DCS 0505
Phipps
06/30/99
99 DCS 0555
Gray
07/06/99
»
I
JUSTICE
Alarm Systems Licensing Board
Terry Allen Bnckey v. Alarm Systems Licensing Board
Travis Enc Reardon v. Alarm Systems Licensing Board
Bnan Anthony Bartimac v. Alarm Systems Licensing Board
Paul Luke Walczak v. Alarm Systems Licensing Board
Melvin T. Lohr v. Alarm Systems Licensing Board
Bradford D. Penny v. Alarm Systems Licensing Board
Benny L. Shaw v. Alarm Systems Licensing Board
Donald Eugene Boger v. Alarm Systems Licensing Board
Kajur Washburn v. Alarm Systems Licensing Board
Education and Training Standards Division
Rock Steven Edwards v. Criminal JusUce Ed. & Training Stds. Comm
Anthony Scott Hughes v. Shenffs' Ed, & Training Standards Comm.
Hal Pilgreen v. Cnminal Justice Ed. & Training Stds. Comm.
Emma J. Kiser v Sheriffs' Ed. & Training Standards Comm.
Keith Allen Noms v. Sheriffs' Ed, & Training Standards Comm.
Sherry Davis Kenney v. Cnminal Justice Ed, & Training Stds. Comm,
Russell Lee Yelverton v. Cnminal Jusuce Ed, & Training Stds. Comm.
Private Protective Services Board
Thomas E. Mewbom v. Private Protective Services Board
Michael Lynn Aner v. Pnvate Protechve Services Board
Jeffrey S, Moore v. Pnvate Protective Services Board
Bonnie Marie Keller v. Private Protective Services Board
Shawn E. Alexander v. Private Protective Ser\ices Board
Ronald E. Sulloway v, Pnvate Protective Services Board
Raymond Solomon v. Pnvate Protective Ser\ices Board
Charles E, Evans. Jr v. Private Protective Services Board
Wiiham E. Ellis. Sr, v. Pnvate Protective Services Board
99 DOJ 0097
Wade
05/21/99
99 DOJ 0446
Phipps
07/28/99
99 DOJ 0487
Momson
05/25/99
99 DOJ 0489
Owens
08/03/99
99 DOJ 0490
Momson
05/24/99
99 DOJ 0522
Momson
06/08/99
99 DOJ 0523
Momson
06/08/99
99 DOJ 0715
Owens
07/29/99
99 DOJ 0716
Owens
07/29/99
98 DOJ 0906
Chess
05/13/99
98 DOJ 1.5.30
Chess
05/12/99
98 DOJ 1775
Chess
06/09/99
98 DOJ 1793
Gray
06/07/99
99 DOJ 0045
Mann
07/29/99
4:04 NCR 35 1
99 DOJ 0067
Wade
06/08/99
99 DOJ 0131
Phipps
08/1 1/99
99 DOJ 0101
Owens
07/30/99
99 DOJ 0262
Wade
05/25/99
99 DOJ 0488
Momson
05/24/99
99 DOJ 0491
Momson
05/24/99
99 DOJ 0492
Owens
07/19/99
99 DOJ 0493
Momson
05/24/99
99 DOJ 0494
Momson
05/25/99
99 DOJ 0496
Momson
05/25/99
99 DOJ 0527
Momson
06/08/99
4
423
NORTH CAROLINA REGISTER
September 1, 1999
14:5
CONTESTED CASE DECISIONS
>
AGENCY
PUBLIC INSTRl'CTION
S.H-hy and through her guardian and cuslodian. H.H and HH \.
Henderson County Board of Education
SLF and S.FF- v.Charlotte-Mecklenburs Board of Education
CASE
DATE OF
NUMBER
AM
DECISION
98EDC 1124
Mann
06/1 1/99
98EDC 1649
Mann
06/04/99
PUBLISHED DECISION
REGISTER CITATION
STATE PERSONTVEL
Department of Agriculture
H C Troxler. Jr. v. Dept, of Agnculture and Consumer SerMces
Community Coll, ges
Thomas Michael Chaniherhn v Department of Community Colleges
Correction
E. Wayne lr\in \ Department of Correction
Pershield DeLoatch v Department of Correction
Deborah Smith \, Department of Correction
Maydean L. Taylor v. Department of Correction
Ann McMillian v. Momson Youth Institution. Department of Conection
Edward Alan Roper v. DOC, Div. of Prisons. Western Youth Institute
DeCarlos Stanley \. Department of Correction
Harry E. Kenan v. Capt. B.F. Lewis, Polk Youth Institution
Richmond Fulmore v. Department of Correctif A'ake Correctional
lerry D. Crawford v. Department of Conect ..
Charles Creegan v. Department of Correction
Crime Control and Public Safety
Thomas Michael Chamherlin \ DCCPS. Center for Missing Persons
North Carolina School for the Deaf
Enc ,\rden Hurley \ Nonh Carolina School for the Deaf
^Employment Security Commission
"Russell J. Suga \ Emplo\'menl Security Commission
Health and Human Serx-ices
Vera Crenshaw \. DHHS. .lulian F Keith Ale. & Drug Abuse Trtmt. Ctr
hey G. Rhodes v. Pitt County Mental Health Center
Dons Virginia Weanng v. Durham County Health Department
Julia A. Cameron v. John Umslead Hospital. Health & Human Services
Jency Ahrams v. Department of Health & Human Services
Odell Hudson v. Health & Human Svcs.. Dorothea Dix Hospital
Enca Joynes v. Durham County Department of Social Services
Thomas Michael Chamberlin v. Off. of Juvenile Justice. Juvenile
Sen ices Division. 14" District Court Division
99 OSP 06.^9
Chess
99OSP0286
Phipps
94 0SP 1791
Momson
98 0SP 1026
Gray
98 0SP1I26
Chess
98 0SP1272
Chess
98 0SP127S
Chess
9S0SP 1644
Grav
99OSP0027
Momson
99OSP02,S7
Phipps
99OSP0416
Mann
99OSP0577
Reillv
99 OSP 076,'^
Reilly
99OSP0.S96*'
Gray
99 OSP 0087
Reilly
96 OSP 1122
Reilly
98OSP04?6
Grav
98 OSP 0924
Phipps
98 OSP 14.12
Reilly
99OSP00,'i.1
Momson
99 OSP 0147
Owens
99 OSP 0609
Grav
99 OSP 0671
Grav
99 OSP 067.1''
Grav
07/27/99
06/2-';/99
O.S/ IS/99
08/11/99
06/22/99
0.VI4/99
O.V 12/99
08/11/99
06/22/99
06/07/99
06/04/99
06/02/99
08/0.1/99
08/16/99
06/24/99
0.'i/26/99
08/05/99
07/09/99
06/18/99
06/22/99
08/11/99
07/07/99
07/1.1/99
08/16/99
14:01 NCR 60
Johnston County
till Romame Lee \ County of Johnston
Justice
Thomas Michael Chamherlin \. Justice. Justice Academy
Labor
Robert C .Adams v. Department of Labor
Department of Public Instruction
John Lee Herbm \ Smarkand Manor Training School
Linda D, Chapman v Lenoir County Public Schools
Transportation
Charles W McAdams v. Depl. of Transportation, Div/Motor Vehicles
Larry R. Lane v. Department of Transportation
Ronald Roberson \. Dept. of Transportation. Right-of-Way Branch
Shelvia Davis \ Department of Transportation
'University ofSorth Carolina
Wanda Troxler v. A & T State University and Dr. Ray J. Davis
Vivian Smith Hammiel, Ling-ChihC. Hsu and Joel A. Williams v. East
Carolina University
99OSP04.S6
Momson
06/02/99
99 OSP 0.108
Phipps
06/11/99
99 OSP 0667
Gray
07/28/99
99 OSP 027.1
Gray
08/04/99
99 OSP 0691
Reilly
08/ 1 6/99
99 OSP 00.14
Mann
06/23/99
99 OSP 01 05
Mann
06/11/99
99 OSP 0142
Momson
06/08/99
99 OSP 01.56
Owens
06/2.1/99
97 OSP 08 19
Phipps
08/02/99
97 0SPI268*-
Phipps
07/06/99
14:5
NORTH CAROLINA REGISTER
September 1, 1999
424
CONTESTED CASE DECISIONS
Vivian Smith Hamniiel, Ling-Chih C. Hsu and Joe! A. Williams v. East
Carolina University
Vivian Smith Hammiel. Ling-Chih C Hsu and Joel A, Williams v. East
Carolina University
Jackie S- Flowers v. East Carolina University
Anna Anita Huff v. Dr. Lonnie Sharpe/Dr. Reza Salami-Coll. /Engineering
Thomas Michael Chamberlin v, UNC @ Chapel Hill. Depi. of University
Housing. Division of Student Affairs
Halycon Tudie Blake v University of North Carolina at Chapel Hill
97 0SP1269*- Phipps
97 OS P 1270*' Phipps
98 0SP 1618 Reilly
99OSP0599 Chess
99OSP0674*' Gray
99OSP0686 Gray
(J7/06/99
07/06/99
06/24/99
07/16/99
08/16/99
07/08/99
I
DEPARTMENT OK TRANSPORTATION
Peter Kay,, Stem v. Department of Transportation
UNIVERSITY OF NORTH CAROLINA
Stephanie A. Payne v. UNC Hospitals
Barbara A. Russell v. UNC Hospitals
Rohm Perkins Stephens v. UNC Hospitals
Rita Jo Kincaid v. UNC Hospitals
Rita Jo Kincaid v. UNC Hospitals
99 DOT 0668
Owens
07/29/99
99 UNC 037.S
Morrison
06/21/99
99 UNC 0540
Gray
08/11/99
99 UNC 056.^
Owens
07/21/99
99 UNC 0746*'
Reilly
08/09/99
99 UNC 0747*'
Reilly
08/09/99
<
♦
425
NORTH CAROLINA REGISTER
September I, 1999
14:5
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Office of Administrative Hearings
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Raleigh, NC 2761 1-7447
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